NPI | 1548506785 |
---|---|
Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE, T/A BAY COLONY DENTISTRY |
Entity Type | Organization |
Authorized Contact | DEBORAH RYAN BLANCHARD Dentist 757-321-1300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401410872) |
Enumeration Date | 2012-12-17 |
Last Update Date | 2012-12-17 |