Individual
DR. MOSTAFA ABOULKHAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4103 CHAIN BRIDGE RD, SUITE LL100, FAIRFAX, VA 22030-4107
(703) 218-8142
(703) 218-8143
Mailing address
4103 CHAIN BRIDGE RD, SUITE LL100, FAIRFAX, VA 22030-4107
(703) 218-8142
(703) 218-8143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411899
VA
Other
Enumeration date
12/28/2007
Last updated
10/18/2016
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