NPI | 1720451354 |
---|---|
Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
Entity Type | Organization |
Authorized Contact | DAVID BRUCE GRAHAM Dentist 757-547-7070 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401005774) |
Additional Taxonomies | 122300000X Dentist (Licence: VA 0401414963) |
Enumeration Date | 2015-11-04 |
Last Update Date | 2015-11-04 |