NPI | 1184749822 |
---|---|
Doing Business As | OCEANFRONT ENDODONTICS |
Entity Type | Organization |
Authorized Contact | JUSTIN DAVID MARTIN President 757-333-3399 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VA 0401008614) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-22 |