| NPI | 1649747080 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ELLIOTT MARC ALTHOUSE Dentist 757-497-4746 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2021-04-05 |