Individual
ANTHONY M MOAWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1886 METRO CENTER DR STE 600, RESTON, VA 20190-5299
(703) 318-8200
Mailing address
1886 METRO CENTER DR STE 600, RESTON, VA 20190-5299
(301) 503-8388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412204
VA
Other
Enumeration date
12/02/2008
Last updated
01/10/2018
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