Individual
FAWAZ AL-FORAIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 N 12TH ST, LYONS BLDG, RM 224, RICHMOND, VA 23298-5064
(804) 263-7197
Mailing address
520 N 12TH ST, LYONS BLDG, RM 224, RICHMOND, VA 23298-5064
(804) 263-7197
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0442000083
VA
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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