| NPI | 1578581559 |
|---|---|
| Doing Business As | ATLANTIC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | G. BARRY FRAZELLE Dentist 910-762-0958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC NC5665) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-08-14 |