Organization
WME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRWEISS NAWAZ (PRESIDENT)
(703) 878-8000
Entity
Organization
Contact information
Practice address
14389 HEREFORD RD, WOODBRIDGE, VA 22193-2107
(703) 878-8000
(703) 878-8008
Mailing address
14389 HEREFORD RD, WOODBRIDGE, VA 22193-2107
(703) 878-8000
(703) 878-8008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410301
VA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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