| NPI | 1760719843 |
|---|---|
| Doing Business As | SOUTHERN DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DACIA EILERT-HOLCOMB Office Manager 336-945-5555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2020-02-25 |