Organization
MAZIQUE INC.
Active
Other names
Dentures On Demand
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD C MAZIQUE II DDS (OWNER/ DENTIST)
(281) 773-9483
Entity
Organization
Contact information
Practice address
3925 MINNESOTA AVE NE, WASHINGTON, DC 20019
(866) 242-0324
Mailing address
145 FLEET STREET, NATIONAL HARBOR, MD 20745-1175
(866) 242-0324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN1001601
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073277800
—
DC
Enumeration date
02/12/2018
Last updated
08/08/2019
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