| NPI | 1902445778 |
|---|---|
| Doing Business As | SOUTHERN SMILES FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SARAH G. CLARK Owner/Partner 903-486-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |