| NPI | 1619788676 |
|---|---|
| Doing Business As | SOUTHERN SMILES ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CASSANDRA WIETH Payor Relations Manager 440-563-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |