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4520 Pretty Lake Ave #201 Norfolk VA 23518 | |
(757) 362-0600 | |
(757) 362-0010 |
Full Name | |
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Speciality | Dentist |
Location | 4520 Pretty Lake Ave, Norfolk, Virginia |
Authorized Official Name and Position | Mostafa Aboulkhair (OWNER/DENTIST) |
Authorized Official Contact | 7573620600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4520 Pretty Lake Ave #201 Norfolk VA 23518 Ph: (757) 362-0600 | 4520 Pretty Lake Ave #201 Norfolk VA 23518 Ph: (757) 362-0600 |
NPI Number | 1518443837 |
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Provider Enumeration Date | 07/19/2018 |
Last Update Date | 07/19/2018 |
Identifier | Type | State | Issuer |
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1518443837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0401411899 (Virginia) | Primary |
James H Boyd Jr Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 E Brambleton Avenue, Ste 9, Norfolk, VA 23510 Phone: 757-623-4820 | |