Individual
JOSEPH ALWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30128 MERCHANT CT, GREAT FALLS, VA 22066-4219
(210) 410-5764
Mailing address
30128 MERCHANT CT, GREAT FALLS, VA 22066-4219
(210) 410-5764
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414274
VA
122300000X
Dentist
59979
CA
Other
Enumeration date
12/06/2012
Last updated
01/03/2017
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