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Individual

MOSAAB HAWSAWI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4072 VICTORY BLVD, PORTSMOUTH, VA 23701-2820
(757) 418-8000
Mailing address
4072 VICTORY BLVD, PORTSMOUTH, VA 23701-2820
(757) 418-8000

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401416722
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
36977
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/12/2016
Last updated
06/14/2021
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