| NPI | 1609522812 |
|---|---|
| Doing Business As | SWEETWATER DENTAL |
| Entity Type | Organization |
| Authorized Contact | SRINIVAS REDDY MANDALA General Dentist 919-446-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |