Individual
MRS. OULA KOWATLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8255 TRAILWOOD CT, VIENNA, VA 22182
(703) 625-9923
Mailing address
8255 TRAILWOOD CT, VIENNA, VA 22182
(703) 625-9923
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0401416201
VA
1223P0221X
Pediatric Dentistry
Primary
11650
MD
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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