| NPI | 1518443837 |
|---|---|
| Doing Business As | EAST BEACH DENTAL |
| Entity Type | Organization |
| Authorized Contact | MOSTAFA ABOULKHAIR Owner/Dentist 757-362-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401411899) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |