Individual
MAHDI ALATTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14346 WARWICK BLVD STE 418, # 418, NEWPORT NEWS, VA 23602-3817
(757) 886-2096
Mailing address
115 W BROAD ST, APT 404, RICHMOND, VA 23220-4276
(804) 874-5788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412628
VA
Other
Enumeration date
10/09/2009
Last updated
10/14/2009
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