| NPI | 1922521350 |
|---|---|
| Doing Business As | SOUTHERN PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | COTY HULGAN President 256-467-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: AL 6124) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-28 |