Individual
AMAL AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13516 HULL STREET RD, MIDLOTHIAN, VA 23112-2107
(703) 362-5475
Mailing address
9544 CENTERWAY DR, GLEN ALLEN, VA 23059-7405
(703) 362-5475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417568
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2021
Last updated
07/12/2021
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