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Organization
SAMAN MADANI DMD & SHADI SHAREGHI DDS PC
Active
Organization
SAMAN MADANI DMD & SHADI SHAREGHI DDS PC
Active
Other names
Sunny Smiles Pediatric and Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMAN MADANI D.M.D. (DENTIST/OWNER)
(703) 865-5779
Entity
Organization
Contact information
Practice address
3930 PENDER DR, SUITE #250, FAIRFAX, VA 22030-0985
(703) 865-5779
(703) 865-5543
Mailing address
3930 PENDER DR, SUITE #250, FAIRFAX, VA 22030-0985
(703) 865-5779
(703) 865-5543
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410760
VA
1223P0221X
Pediatric Dentistry
0401412634
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CX014
—
VA
Enumeration date
02/28/2012
Last updated
02/28/2012
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