NPI | 1578956793 |
---|---|
Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
Entity Type | Organization |
Authorized Contact | RODNEY A MCDANIEL Dentist 757-898-6788 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401412142) |
Additional Taxonomies | 122300000X Dentist (Licence: VA 0401412849) |
Enumeration Date | 2015-03-12 |
Last Update Date | 2015-03-12 |