Individual
MUSTAFA AL-GBURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
723 SOUTHPARK BLVD STE F, COLONIAL HEIGHTS, VA 23834-3628
(804) 504-0012
Mailing address
723 SOUTHPARK BLVD STE F, COLONIAL HEIGHTS, VA 23834-3628
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401420011
VA
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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