Individual
SHAHROZ DAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5621 TIDEWATER DR, NORFOLK, VA 23509-1497
(757) 622-3776
Mailing address
5621 TIDEWATER DR, NORFOLK, VA 23509-1497
(757) 622-3776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417163
VA
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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