| NPI | 1912258740 |
|---|---|
| Doing Business As | SOUTHERN SURGICAL ARTS |
| Entity Type | Organization |
| Authorized Contact | CHARLES G STONE Owner/Officer 903-534-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2013-12-26 |