Organization
ATLAS WALK DENTAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(941) 955-3150
Entity
Organization
Contact information
Practice address
7502 IRON BAR LN, GAINESVILLE, VA 20155-2999
(203) 996-4472
Mailing address
7502 IRON BAR LN, GAINESVILLE, VA 20155-2999
(203) 996-4472
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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