Southern Oak Dental, LLC
NPI #1336761097 in Sumter, South Carolina
Provider Information
- NPI Number
- 1336761097
- Entity Type
- Organization
- Organization Name
- Southern Oak Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 15, 2020
- Last Updated
- May 15, 2020
Practice Location
- Address
- 1322 BROAD ST UNIT 90
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-1984
- Phone
- (912) 856-9698
Authorized Official
- Name
- FRANK GONG
- Title
- OWNER
- Phone
- (206) 371-2516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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