| NPI | 1952918948 |
|---|---|
| Doing Business As | SOUTHERN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JACKIE CHILDERS Operations Manager 828-850-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-29 |