Individual
DR. MOHAMED ELGAZZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6845 ELM ST STE 615, 615, MC LEAN, VA 22101-3843
(703) 734-1233
(703) 734-1331
Mailing address
15412 EWELLS MILL WAY, WOODBRIDGE, VA 22193-5883
(860) 930-1724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411710
VA
Other
Enumeration date
03/17/2007
Last updated
04/07/2016
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