Organization
CHARLES S. LLEWELLYN III
Active
Parent organization
ATLANTIC DENTAL CARE, PLC
Other names
A DIVISION OF ALANTIC DENTAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTIC DENTAL CARE, PLC
Authorized official
DR. CHARLES SILAS LLEWELLYN III DDS (DENTIST)
(757) 428-2571
Entity
Organization
Contact information
Practice address
933 FIRST COLONIAL RD, SUITE 104, VIRGINIA BEACH, VA 23454-3172
(757) 428-2571
(757) 422-4236
Mailing address
933 FIRST COLONIAL RD, SUITE 104, VIRGINIA BEACH, VA 23454-3172
(757) 428-2571
(757) 422-4236
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4010062461
VA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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