# LESLIE I. RICHMOND

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ATLANTIC DENTAL CARE, PLC
- **Other names:** A Division of Atlantic Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225373632
- **Legal business name:** ATLANTIC DENTAL CARE, PLC
- **Authorized official:** DR. LESLIE I RICHMOND DDS (DENTIST)
- **Authorized official phone:** (757) 460-1939

## Contact information

- **Practice address:** 4417A SHORE DR, VIRGINIA BEACH, VA 23455-2821
- **Practice address phone:** (757) 460-1939
- **Mailing address:** 4417A SHORE DR, VIRGINIA BEACH, VA 23455-2821
- **Mailing address phone:** (757) 460-1939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401225711 | VA | Yes |

## Other

- **Enumeration date:** 12/11/2012
- **Last updated:** 12/11/2012