Individual
BASSEM EL-HAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
313 PARK AVE STE G12, FALLS CHURCH, VA 22046-3328
(703) 237-2932
Mailing address
313 PARK AVE STE G12, FALLS CHURCH, VA 22046-3328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7815
VA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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