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Organization
FAIRFAX PERIODONTAL AND IMPLANT CENTER, PLLC
Active
Organization
FAIRFAX PERIODONTAL AND IMPLANT CENTER, PLLC
Active
Other names
Woodbridge Periodontal and Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD HAWASLI DDS (OWNER/DENTIST)
(703) 491-2974
Entity
Organization
Contact information
Practice address
8622 ROUTE 29 STE D, FAIRFAX, VA 22031-2148
(703) 491-2974
Mailing address
8622 ROUTE 29 STE D, FAIRFAX, VA 22031-2148
(703) 491-2974
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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