| NPI | 1700520574 |
|---|---|
| Doing Business As | SOUTH COUNTY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SAINY ADEL Practice Owner 573-777-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-04-26 |