| 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 |