Ali, Wissam Fawzi
Ali, Wissam Fawzi is an sole proprietor health care provider with primary practice located at 7409 Floyd Ave , Springfield VA 22150-3812. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Ali, Wissam Fawzi can be contacted via phone (703) 672-6919.Contact Information
Primary practice address
7409 Floyd Ave
Springfield VA 22150-3812
Phone: (703) 672-6919
Fax: (703) 451-1863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401410503 | Virginia |
| Dental Providers / Dentist Anesthesiologist | 1223D0004X | 0401410503 | Virginia |
Profile Details
| NPI number | 1396845558 |
|---|---|
| LBN Legal business name | Ali, Wissam Fawzi |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Apr 10th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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