| NPI | 1871158691 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Doing Business As | BREEZE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN GENE BRIESEMEISTER Dentist 757-484-1444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2023-03-30 |