NPI | 1508261967 |
---|---|
Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
Entity Type | Organization |
Authorized Contact | PAULA E WRIGHT Office Manager 757-596-6211 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006746) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401411432) |
Enumeration Date | 2014-10-28 |
Last Update Date | 2014-10-28 |