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Organization
ATLANTIC DENTAL CARE, PLC
Active
Organization
ATLANTIC DENTAL CARE, PLC
Active
Parent organization
ATLANTIC DENTAL CARE, PLC
Other names
Miguel Fernandez DDS, Ltd. a division of Atlantic Dental Care, PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTIC DENTAL CARE, PLC
Authorized official
MIGUEL EDUARDO FERNANDEZ DDS (PRESIDENT)
(757) 497-4825
Entity
Organization
Contact information
Practice address
520 S INDEPENDENCE BLVD STE 102, VIRGINIA BEACH, VA 23452-1152
(757) 497-4825
Mailing address
520 S INDEPENDENCE BLVD STE 102, VIRGINIA BEACH, VA 23452-1152
(757) 497-4825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410283
VA
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
12/17/2012
Last updated
06/25/2024
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