NPI | 1548376361 |
---|---|
Doing Business As | ASSOCIATED DENTAL CARE |
Entity Type | Organization |
Authorized Contact | BRUCE HAROLD UTTERBACK President 757-490-0419 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA VA401007145) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2008-07-01 |