| NPI | 1851854236 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | PATRICK GRUBE Dentist 757-642-0549 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |