MEDHAT R. ABU-GHANNAM

BURKE, VA
NPI1720109200
Professional NameMEDHAT R. GHANNAM
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401410846)
Enumeration Date2007-04-03
Last Update Date2007-07-08
Business Address
Dr. MEDHAT R. ABU-GHANNAM DDS
9239 OLD KEENE MILL RD
BURKE, VA 22015-4202
Phone number: 703-455-7770
Mailing Address
Dr. MEDHAT R. ABU-GHANNAM DDS
2520 TERRA COTTA CIR
HERNDON, VA 20171
Phone number: 703-956-6015
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