| NPI | 1699549279 |
|---|---|
| Doing Business As | SOUTHSHORE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MEGAN PETERS Credentialing Manager 912-430-4629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |