| NPI | 1730737578 |
|---|---|
| Doing Business As | SOUTHERN SMILES DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | RHETT DULEBA CEO 980-328-1651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |