| NPI | 1619429248 |
|---|---|
| Doing Business As | SOUTH MOBILE FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES N/A WHITE CEO 251-432-4117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 126800000X Dental Assistant |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 124Q00000X Dental Hygienist | |
| 122300000X Dentist | |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2022-08-30 |