| NPI | 1467798603 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JACK MAVROMATIS Dentist 757-496-9123 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401006411) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |