Individual
DR. FADI JAMIL HAWWASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
130 BIRGE ST, 130 BIRGE STREET, BRATTLEBORO, VT 05301-6460
(802) 251-1031
(802) 251-0022
Mailing address
130 BIRGE ST, 130 BIRGE STREET, BRATTLEBORO, VT 05301-6460
(802) 251-1031
(802) 251-0022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016-0002104
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007509
—
VT
Enumeration date
10/19/2006
Last updated
07/09/2007
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