| NPI | 1225373632 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | LESLIE I RICHMOND Dentist 757-460-1939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401225711) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |