| NPI | 1285007633 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KEITH E. VAUGHAN Dentist 757-898-3366 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412135) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |