| NPI | 1457756884 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN RANDALL OWEN Dentist 757-877-6787 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411110) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |