NPI | 1780953125 |
---|---|
Doing Business As | OCEAN ATLANTIC DENTAL |
Entity Type | Organization |
Authorized Contact | DAVID R THROCKMORTON Owner 757-498-1663 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411064) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2011-12-14 |
Last Update Date | 2023-07-31 |