WOODBRIDGE PERIODONTAL & IMPLANT CENTER PLLC NPI 1144743709

NPI Information

WOODBRIDGE PERIODONTAL & IMPLANT CENTER PLLC is a periodontics dentist in Woodbridge, VA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. WOODBRIDGE PERIODONTAL & IMPLANT CENTER PLLC NPI is 1144743709. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 OPITZ BLVD STE 205
WOODBRIDGE, VA
ZIP 22191-343
Phone: (703) 491-2974

The provider's authorized official is Ahmad Hawasli .
The authorized official title is Periodontist and has the following contact phone number (773) 629-0329.

The enumeration date for this NPI number is 7/25/2017 and was last updated on 8/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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