| NPI | 1255762092 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JENNIER ROSS WATERMAN Dentist 757-340-8155 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401411099) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |