Individual
WAEL ZAKKOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1910 THOMSON DR, LYNCHBURG, VA 24501-1009
(504) 408-5265
Mailing address
1910 THOMSON DR, LYNCHBURG, VA 24501-1009
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401417576
VA
Other
Enumeration date
07/10/2021
Last updated
07/10/2021
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