Organization
NORTH HILLS DENTAL LLC
Active
Other names
Southern Charm Dentistry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STAFANI SANDOVAL (INSURANCE SPECIALIST)
(440) 356-2089
Entity
Organization
Contact information
Practice address
2700 N HILLS ST, MERIDIAN, MS 39305-2641
(601) 485-4851
(601) 693-5936
Mailing address
19111 DETROIT RD STE 206, ROCKY RIVER, OH 44116-1740
(440) 356-2089
(440) 356-2090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/25/2021
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