Individual
REBAZ WAISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1286 E WEST HWY, SILVER SPRING, MD 20910-3242
(301) 761-4489
Mailing address
7934 WENTWORTH PL, SPRINGFIELD, VA 22152-3440
(703) 965-1514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401416705
VA
122300000X
Dentist
18178
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000487
VA
Other
Enumeration date
04/01/2019
Last updated
01/08/2026
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