Individual
TAREK ELBADAWY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
46175 WESTLAKE DR STE 130, STERLING, VA 20165-5873
(917) 912-2793
Mailing address
6255 COLLEGE DR., SUITE #E, NORFOLK, VA 23517-0018
(917) 912-2793
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414260
VA
Other
Enumeration date
05/29/2013
Last updated
10/17/2019
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