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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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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