Organization
AMRISH PATEL
Active
Parent organization
ATLANTIC DENTAL CARE, PLC
Other names
LAKESHORE DENTAL P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTIC DENTAL CARE, PLC
Authorized official
AMRISH PATEL DMD (DENTIST)
(973) 610-6026
Entity
Organization
Contact information
Practice address
1209 INDEPENDENCE BLVD STE 110, VIRGINIA BEACH, VA 23455-5569
(757) 490-3111
Mailing address
1209 INDEPENDENCE BLVD STE 110, VIRGINIA BEACH, VA 23455-5569
(757) 490-3111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414691
VA
Other
Enumeration date
11/21/2017
Last updated
12/07/2017
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