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Organization
CENTER FOR RESTORATIVE, COSMETIC, AND IMPLANT DENTISTRY, PC
Active
Organization
CENTER FOR RESTORATIVE, COSMETIC, AND IMPLANT DENTISTRY, PC
Active
Parent organization
ATLANTIC DENTAL CARE, PLC
Other names
A Division of Atlantic Dental Care, PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTIC DENTAL CARE, PLC
Authorized official
DAVID LEWIS DMD (DENTIST)
(757) 482-2876
Entity
Organization
Contact information
Practice address
825 BATTLEFIELD BLVD S, CHESAPEAKE, VA 23322-6607
(757) 482-2876
(757) 546-0235
Mailing address
825 BATTLEFIELD BLVD S, CHESAPEAKE, VA 23322-6607
(757) 482-2876
(757) 546-0235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401006003
VA
122300000X
Dentist
0401411399
VA
122300000X
Dentist
Primary
0401412179
VA
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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