| NPI | 1932971850 |
|---|---|
| Other Name | WOODBRIDGE PERIODONTAL AND IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | AHMAD HAWASLI Owner/Dentist 703-491-2974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |