| NPI | 1518208834 |
|---|---|
| Doing Business As | SOUTHERN SMILES FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARTHA HOPE YOUNGER Owner 662-323-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MS 3160-00) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |