IndividualActive
Ahmad Hawasli
NPI 1508263104 · Periodontics · Manassas, VA
Provider details
- NPI number
- 1508263104
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 0401414973 (VA)
Practice location
8100 Ashton Ave
Ste 212
Manassas, VA 20109-5622
Phone: (773) 629-0329
Mailing address
5811 Chase Commons Ct
Burke, VA 22015-4611
Registry dates
- Enumerated
- 2014-11-25
- Last updated
- 2015-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.