| NPI | 1124424338 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | GERALD QUINTON FREEMAN Dentist 757-599-3182 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 5782) |
| Enumeration Date | 2014-11-15 |
| Last Update Date | 2014-11-15 |