| Perioworks LLC | |
|
7915 Lake Manassas Dr Ste 103 Gainesville VA 20155-3259 | |
| (216) 334-5813 | |
| Not Available |
| Full Name | Perioworks LLC |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 7915 Lake Manassas Dr Ste 103, Gainesville, Virginia |
| Authorized Official Name and Position | Hazem Saqqal (PERIODONTIST/OWNER) |
| Authorized Official Contact | 2163345813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perioworks LLC 7915 Lake Manassas Dr Ste 103 Gainesville VA 20155-3259 Ph: (216) 334-5813 | Perioworks LLC 7915 Lake Manassas Dr Ste 103 Gainesville VA 20155-3259 Ph: (216) 334-5813 |
| NPI Number | 1275335754 |
|---|---|
| Provider Enumeration Date | 03/26/2025 |
| Last Update Date | 03/26/2025 |
| Certification Date | 03/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275335754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | () | Primary |
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