| NPI | 1154726115 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | BRETT DUNNILL Dentist 757-345-5500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401410542) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401411453) |
| 122300000X Dentist (Licence: VA 0401413221) | |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-03 |