| NPI | 1548950124 |
|---|---|
| Doing Business As | SOUTHERN SMILES PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARK HERRING Owner 910-297-4744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2024-01-29 |