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NPI Code Detail

MEDICARE: AFFORDABLE DENTURES & IMPLANTS - CHESTER, P.C.

MEDICARE: AFFORDABLE DENTURES & IMPLANTS - CHESTER, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1578327516
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFFORDABLE DENTURES & IMPLANTS - CHESTER, P.C.
Provider Business Mailing Address
First Line : 11846 PERDUE SPRINGS CT
Second Line :
City : CHESTER
State : VA
Zip : 23831-2164
Country : US
Telephone Number : 804-748-4546
Fax Number :
Provider Business Practice Location Address
First Line : 11846 PERDUE SPRINGS CT
Second Line :
City : CHESTER
State : VA
Zip : 23831-2164
Country : US
Telephone Number : 804-748-4546
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MOSTAFA ABOULKHAIR
Credential : DMD
Telephone Number : 804-748-4546
Provider Enumeration Date : 02/09/2024
Last Update Date : 02/09/2024

Similar Medicare Providers

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23831-2164
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1629549829 — O.I. OKUNUGA, DDS, P.C.
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23831-2164
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1306566237 — AFFORDABLE DENTURES & IMPLANTS - VIRGINIA PLLC
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Directions to “AFFORDABLE DENTURES & IMPLANTS - CHESTER, P.C. ” Practice Location

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