| A Division Of Atlantic Dental Care | |
|
2129 General Booth Blvd Suite 117 Virginia Beach VA 23454-5872 | |
| (757) 563-8000 | |
| (757) 563-2077 |
| Full Name | A Division Of Atlantic Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 2129 General Booth Blvd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Michael L Kahan (DENTIST) |
| Authorized Official Contact | 7575638000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Division Of Atlantic Dental Care 2129 General Booth Blvd Suite 117 Virginia Beach VA 23454-5872 Ph: (757) 563-8000 | A Division Of Atlantic Dental Care 2129 General Booth Blvd Suite 117 Virginia Beach VA 23454-5872 Ph: (757) 563-8000 |
| NPI Number | 1508101916 |
|---|---|
| Provider Enumeration Date | 12/11/2012 |
| Last Update Date | 12/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508101916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6364 (Virginia) | Primary |
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