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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)

Other

Enumeration date
12/17/2012
Last updated
06/25/2024
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