| NPI | 1720691892 |
|---|---|
| Doing Business As | SOUTHERN CHARM DENTISTRY LLC |
| Entity Type | Organization |
| Authorized Contact | STAFANI SANDOVAL Insurance Specialist 440-356-2089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2021-08-25 |