Individual
MARC R MOUALLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1747 PENNSYLVANIA AVE NW, SUITE #140, WASHINGTON, DC 20006-4604
(202) 833-3333
(301) 907-9089
Mailing address
1747 PENNSYLVANIA AVE NW, SUITE #140, WASHINGTON, DC 20006-4604
(202) 833-3333
(301) 907-9089
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN2697
DC
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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