| NPI | 1578247094 |
|---|---|
| Doing Business As | ATLANTIC PERIODONTICS & IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | CELESTE VAUGHN Executive Assistant 757-258-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |