Provider Demographics
NPI:1275101214
Name:RAZA, MUHAMMAD MOBEEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:MOBEEN
Last Name:RAZA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12730 MILL HEIGHTS CT
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-4903
Mailing Address - Country:US
Mailing Address - Phone:703-853-8526
Mailing Address - Fax:
Practice Address - Street 1:12730 MILL HEIGHTS CT
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-4903
Practice Address - Country:US
Practice Address - Phone:703-853-8526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-16
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN2000100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist