Healthcare Provider Details

I. General information

NPI: 1336723824
Provider Name (Legal Business Name): WAJIHA W AZIZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 PEORIA ST
AURORA CO
80011-8264
US

IV. Provider business mailing address

757 PEORIA ST
AURORA CO
80011-8264
US

V. Phone/Fax

Practice location:
  • Phone: 720-779-0144
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN00206103
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: