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Organization
HICHAM MEKOUAR DDS PC
Active
Organization
HICHAM MEKOUAR DDS PC
Active
Other names
gateway dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HICHAM MEKOUAR DDS (PRESIDENT)
(703) 753-3346
Entity
Organization
Contact information
Practice address
7462 LIMESTONE DR, GAINESVILLE, VA 20155-4007
(703) 753-3346
(703) 753-8836
Mailing address
7462 LIMESTONE DR, GAINESVILLE, VA 20155-4007
(703) 753-3346
(703) 753-8836
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
411070
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010335621
—
VA
Enumeration date
05/15/2007
Last updated
04/28/2010
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