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Individual
MOHAMAD FAWAZ
Active
Individual
MOHAMAD FAWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0442000458
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DN123645
VA
Other
Enumeration date
05/25/2022
Last updated
03/24/2025
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