| NPI | 1700122850 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | EVELYN E LUMA Dentist 757-430-2600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401410284) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |