| NPI | 1891072013 |
|---|---|
| Doing Business As | SOUTHERN SMILES, FAMILY AND COSMETIC DENTRISTRY |
| Entity Type | Organization |
| Authorized Contact | PATRICK S BURCHFIELD Owner/President 979-846-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23796) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |