NPI | 1750879896 |
---|---|
Doing Business As | SIMPLY SOUTHERN SMILES |
Entity Type | Organization |
Authorized Contact | MICHAEL CONNELY WOODS Orthdontist/Owner 704-872-7604 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 10868) |
Enumeration Date | 2018-04-24 |
Last Update Date | 2018-04-24 |