Individual
ISLAM SALEH ELDERBASHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1194 BIG BETHEL RD, HAMPTON, VA 23666-1906
(757) 239-6280
Mailing address
2721 SW 71ST TER APT 714, DAVIE, FL 33314-1118
(734) 604-7471
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418589
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2023
Last updated
07/24/2023
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