| NPI | 1073918165 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | CLIFFORD THOMAS GOODWIN Dentist 757-930-3744 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 401006165) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |