| NPI | 1649601444 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | DAVID THROCKMORTON Dentist 757-498-1663 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401411064) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |