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Individual

DR. WAKAS S. ABDULRAZZAQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
3751 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL 33544-9201
(813) 575-1008
Mailing address
2420 14TH ST NW APT 531, WASHINGTON, DC 20009-3754
(443) 224-0737

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019031122
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401416743
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
17615
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN28972
FL

Other

Enumeration date
06/28/2017
Last updated
05/29/2024
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