| NPI | 1699228486 |
|---|---|
| Doing Business As | SOUTHERN VILLAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON ROBERT HARRIS Dentist/Owner 252-213-2545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 9744) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |