NPI | 1780080713 |
---|---|
Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
Entity Type | Organization |
Authorized Contact | BENJAMIN THOMAS WATSON Dentist 757-873-3322 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006222) |
Enumeration Date | 2014-11-19 |
Last Update Date | 2014-11-19 |