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Individual

FAWWAZ FAIZ ALOTAIBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6161 EDSALL RD APT 1608, ALEXANDRIA, VA 22304-4141
(404) 431-9587
Mailing address
6161 EDSALL RD APT 1608, ALEXANDRIA, VA 22304-4141
(404) 431-9587

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3917-17
MS

Other

Enumeration date
06/13/2017
Last updated
07/21/2022
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