Isa M Abu El Hawa, D.D.S

Individual provider Active NPI General Practice Dentistry · Washington, DC

NPI 1013686872 · NPPES record last updated Jul 14, 2022

Key facts

NPI
1013686872
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
0401417803 (VA)
Practice address
1100 Alabama Ave SE
Washington, DC 20032-4542
Phone
(202) 299-5610
NPI assigned
Sep 7, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0401417803VAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401417803 VA Yes

Addresses

Primary practice location

1100 Alabama Ave SE
Washington, DC 20032-4542

Mailing address

1100 Alabama Ave SE
Washington, DC 20032-4542
Phone (202) 299-5610

Other providers in Washington, DC

All providers in Washington, DC · General Practice Dentistry in District of Columbia

Sources for this page

Verify at the official NPI Registry.