| NPI | 1790021061 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN A ASAM Dentist 757-436-3595 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 7311) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-19 |