Individual
IBRAHIM ELGARAWANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4199 WINCHESTER RD, SUITE H, MARSHALL, VA 20115-3269
(540) 364-8040
Mailing address
4199 WINCHESTER RD, SUITE H, MARSHALL, VA 20115-3269
(540) 364-8040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414682
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124466347
—
VA
Enumeration date
06/10/2013
Last updated
06/16/2015
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