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Individual

WAJIHA W AZIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1048 UNION ST, BANGOR, ME 04401-3016
(207) 404-8100
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4915
ME

Other

Enumeration date
05/10/2021
Last updated
07/14/2022
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