| NPI | 1124219613 |
|---|---|
| Doing Business As | ATLANTIC DENTURE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JIMMY ALLEN BOWMAN Owner 321-631-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |