| NPI | 1851872113 |
|---|---|
| Doing Business As | SOUTH LAMAR SMILES |
| Entity Type | Organization |
| Authorized Contact | KESHAVI PATEL Dentist 732-770-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 31345) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |