| NPI | 1972127769 |
|---|---|
| Doing Business As | SOUTHERN SMILES |
| Entity Type | Organization |
| Authorized Contact | LISA MCNUTT Vice President 919-452-3269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2024-02-14 |