| NPI | 1124491428 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ALLEN MCGILL Dentist 757-595-9979 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401005172) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |