| NPI | 1235475286 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE, PLC |
| Entity Type | Organization |
| Authorized Contact | DAVID LEWIS Dentist 757-482-2876 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401412179) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401006003) |
| 122300000X Dentist (Licence: VA 0401411399) | |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |