Individual
DR. ZACK HICHAM MEKOUAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13900 NOBLEWOOD PLZ, WOODBRIDGE, VA 22193-1449
(703) 347-1282
Mailing address
9616 GEORGETOWN PIKE, GREAT FALLS, VA 22066-2638
(703) 347-1282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401411070
VA
122300000X
Dentist
DEN1000523
DC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13390
MD
Other
Enumeration date
09/21/2007
Last updated
08/25/2022
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