| NPI | 1245576677 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ELLIOTT ALTHOUSE Dentist 757-393-2568 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005669) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2014-07-03 |