| NPI | 1376905547 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ROBERT W GEORGE Dentist 804-642-2212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401008284) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401007435) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-29 |