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Organization

J. F. FORETICH, JR., D.D.S.

Active
Parent organization
ATLANTIC DENTAL CARE, PLC
Other names
a division of Atlantic Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
ATLANTIC DENTAL CARE, PLC
Authorized official
DR. JEROME FRANCIS FORETICH JR. DDS (DENTIST)
(757) 877-0775
Entity
Organization

Contact information

Practice address
716 DENBIGH BLVD, STE B-4, NEWPORT NEWS, VA 23608-4414
(757) 877-0775
(757) 877-0773
Mailing address
716 DENBIGH BLVD, STE B-4, NEWPORT NEWS, VA 23608-4414
(757) 877-0775
(757) 877-0773

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007967
VA

Other

Enumeration date
11/04/2014
Last updated
11/04/2014
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