| NPI | 1770829913 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | F. CHARLES STANGE Dentist 757-436-7700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401004579) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |