Individual
DR. AHMAD HAWASLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 ASHTON AVE, STE 212, MANASSAS, VA 20109-5622
(773) 629-0329
Mailing address
5811 CHASE COMMONS CT, APT# 208, BURKE, VA 22015-4611
(773) 629-0329
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401414973
VA
Other
Enumeration date
11/25/2014
Last updated
09/04/2015
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