| NPI | 1619544749 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE, PLC |
| Entity Type | Organization |
| Authorized Contact | HARRY WOOTEN SQUIRE Dentist 434-594-7453 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |