Southern Smile Dental LLC
NPI #1497417679 in Adairsville, Georgia
Provider Information
- NPI Number
- 1497417679
- Entity Type
- Organization
- Organization Name
- Southern Smile Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 6, 2021
- Last Updated
- Oct 6, 2021
Practice Location
- Address
- 6000 JOE FRANK HARRIS PKWY NW
- City
- Adairsville
- State
- Georgia
- ZIP Code
- 30103-2443
- Phone
- (404) 454-1362
Authorized Official
- Name
- MAHER BOURBIA, DDS
- Title
- DENTIST
- Phone
- (404) 454-1362
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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