Individual
BADRADDIN MANSOUR MOHAMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1280 CONCORD AVE, RICHMOND, VA 23228-6518
(804) 261-4871
Mailing address
125 BARNOSKY CT APT 125, SOUTH PLAINFIELD, NJ 07080-2538
(407) 881-3323
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401419887
VA
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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