| NPI | 1629487137 |
|---|---|
| Doing Business As | SOUTHERN SMILES PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RAYMOND J TSENG Owner/ Dentist 910-947-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-09 |