| East Beach Dental | |
|
4520 Pretty Lake Ave #201 Norfolk VA 23518 | |
| (757) 362-0600 | |
| (757) 362-0010 |
| Full Name | East Beach Dental |
|---|---|
| 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 |
|---|---|
| East Beach Dental 4520 Pretty Lake Ave #201 Norfolk VA 23518 Ph: (757) 362-0600 | East Beach Dental 4520 Pretty Lake Ave #201 Norfolk VA 23518 Ph: (757) 362-0600 |
| NPI Number | 1518443837 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 07/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518443837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401411899 (Virginia) | Primary |
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