| NPI | 1730425919 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | TRACY S OLIVER Dentist 757-471-5480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 401007137) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |