Individual
AMRO H. SHIHABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
5206 LYNGATE CT, BURKE, VA 22015
(703) 425-5010
(410) 706-0891
Mailing address
5206 LYNGATE CT, BURKE, VA 22015
(703) 425-5010
(410) 706-0891
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0438000397
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
C1-0010973
DE
Other
Enumeration date
02/15/2007
Last updated
03/22/2024
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