| NPI | 1417355348 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | GEORGE A JACOBS Dentist 757-596-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401005691) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |