NPI | 1790297604 |
---|---|
Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
Entity Type | Organization |
Authorized Contact | PAMELA ANN MORGAN Dentist 757-627-7550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401008103) |
Enumeration Date | 2017-11-01 |
Last Update Date | 2017-11-01 |