Individual
MOHAMAD NASSIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5900 E VA BEACH BLVD STE 70, NORFOLK, VA 23502-2514
(757) 644-4356
Mailing address
1090 NORTHCHASE PKWY SE STE 290, MARIETTA, GA 30067-6402
(770) 916-7039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414923
VA
Other
Enumeration date
08/06/2015
Last updated
06/08/2016
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