Individual
MOHAMMED WASSAIF HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12317 WINCHESTER RD SW STE 100, LAVALE, MD 21502-6611
(240) 803-3487
Mailing address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18612
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2023
Last updated
05/17/2026
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