# ADRIAN M. LAXA, DDS, PC

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

## Provider details

- **NPI number:** 1306314885
- **Legal business name:** ATLANTIC DENTAL CARE PLC
- **Authorized official:** DR. ADRIAN M. LAXA DDS (DENTIST)
- **Authorized official phone:** (757) 497-0450

## Contact information

- **Practice address:** 4540 PRINCESS ANNE RD STE 101, VIRGINIA BEACH, VA 23462-7962
- **Practice address phone:** (757) 497-0450
- **Practice address fax:** (757) 497-6137
- **Mailing address:** 4540 PRINCESS ANNE RD STE 101, VIRGINIA BEACH, VA 23462-7962
- **Mailing address phone:** (757) 497-0450
- **Mailing address fax:** (757) 497-6137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2018
- **Last updated:** 11/02/2018
