| A Division Of Alantic Dental Care | |
|
933 First Colonial Rd Suite 104 Virginia Beach VA 23454-3172 | |
| (757) 428-2571 | |
| (757) 422-4236 |
| Full Name | A Division Of Alantic Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 933 First Colonial Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Charles Silas Llewellyn (DENTIST) |
| Authorized Official Contact | 7574282571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Division Of Alantic Dental Care 933 First Colonial Rd Suite 104 Virginia Beach VA 23454-3172 Ph: (757) 428-2571 | A Division Of Alantic Dental Care 933 First Colonial Rd Suite 104 Virginia Beach VA 23454-3172 Ph: (757) 428-2571 |
| NPI Number | 1053657171 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 12/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053657171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4010062461 (Virginia) | Primary |
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