| 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 |