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General NPI Number Information
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NPI Number | 1538017694
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Entity Type | Organization
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Legal Business Name | DISTRICT DENTAL STUDIO PLLC
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/22/2026
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Provider Practice Location Address
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Address Line | 14904 RICHMOND HWY STE 208
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3908
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Country | US
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Telephone | 703-544-5624
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Fax |
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Provider Business Mailing Address
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Address Line | 14904 RICHMOND HWY STE 208
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3908
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. TAMEEM AZIZ
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Credential | DDS
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Telephone | 703-544-5624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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