Southern Dental LLC

NPI #1922422435 in Seaford, Delaware

Provider Information

NPI Number: 1922422435
Entity Type: Organization
Organization Name: Southern Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 5, 2014
Last Updated: Mar 6, 2014

Practice Location

Address: 703 HEALTH SERVICES DR
City: Seaford
State: Delaware
ZIP Code: 19973-5784
Phone: (302) 999-7600

Authorized Official

Name: DR. PAUL EDWIN BROWN, DMD
Title: OWNER
Phone: (302) 999-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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