Individual
GAMILA MIMI AWAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
4600B PINECREST OFFICE PARK DR, ALEXANDRIA, VA 22312-1460
(703) 914-0020
Mailing address
4600B PINECREST OFFICE PARK DR, ALEXANDRIA, VA 22312-1460
(703) 914-0020
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401007837
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401007837
VA DENTAL LICENSE
VA
Enumeration date
01/02/2008
Last updated
01/02/2008
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