| NPI | 1578139499 |
|---|---|
| Doing Business As | SOUTHERN DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DACIA K EILERT-HOLCOMB Director Of Operations 336-945-5555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2024-02-28 |