| NPI | 1053657171 |
|---|---|
| Doing Business As | A DIVISION OF ALANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | CHARLES SILAS LLEWELLYN Dentist 757-428-2571 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 4010062461) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |