MOHAMAD FAWAZ DMD
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1629716907- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA, 309120566
- Phone
- (706) 288-6517
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: VA #0442000458
Student in an Organized Health Care Education/Training Program
Primary License: VA #DN123645