Woodbridge Periodontal & Implant Center Pllc
NPI #1144743709 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1144743709
- Entity Type
- Organization
- Organization Name
- Woodbridge Periodontal & Implant Center Pllc
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jul 25, 2017
- Last Updated
- Aug 4, 2017
Practice Location
- Address
- 2200 OPITZ BLVD STE 205
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22191-3343
- Phone
- (703) 491-2974
Authorized Official
- Name
- DR. AHMAD HAWASLI, DDS, MSC
- Title
- PERIODONTIST
- Phone
- (773) 629-0329
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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