NPI | 1720482292 |
---|---|
Doing Business As | SOUTHERN EDGE DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | HARRY N BOBOTIS Owner 864-242-2848 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-10-13 |
Last Update Date | 2014-10-13 |