NPI | 1386319473 |
---|---|
Doing Business As | ATLANTIC DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JOSHUA FORD WINNEBERGER Doctor/General Dentistry/Secretary 910-616-5530 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-08-11 |
Last Update Date | 2021-08-11 |