| NPI | 1699244210 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SIMON MCCARTY Dentist 757-440-1360 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |