# SHAHLA RANJBAR, DMD, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225238017
- **Authorized official:** DR. SHAHLA RANJBAR D.M.D. (CEO)
- **Authorized official phone:** (703) 669-8688

## Contact information

- **Practice address:** 545 E MARKET ST STE G, LEESBURG, VA 20176-4172
- **Practice address phone:** (703) 669-8688
- **Mailing address:** PO BOX 2964, LEESBURG, VA 20177-7956
- **Mailing address phone:** (703) 669-8688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | VA7845 | VA | Yes |

## Other

- **Enumeration date:** 07/20/2007
- **Last updated:** 07/23/2007