| NPI | 1932658853 |
|---|---|
| Doing Business As | SOUTH SHORE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID WAYNE BRYANT Owner 461-755-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00010632) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |