Provider Demographics
NPI:1578327516
Name:AFFORDABLE DENTURES & IMPLANTS - CHESTER, P.C.
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - CHESTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOSTAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOULKHAIR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:804-748-4546
Mailing Address - Street 1:11846 PERDUE SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-2164
Mailing Address - Country:US
Mailing Address - Phone:804-748-4546
Mailing Address - Fax:
Practice Address - Street 1:11846 PERDUE SPRINGS CT
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-2164
Practice Address - Country:US
Practice Address - Phone:804-748-4546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty