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Organization
ACDG LLC
Active
Organization
ACDG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAH SHOJAEI DMD (OWNER)
(703) 812-8800
Entity
Organization
Contact information
Practice address
1731 CLARENDON BLVD, ARLINGTON, VA 22209-2741
(703) 812-8800
Mailing address
1731 CLARENDON BLVD, ARLINGTON, VA 22209-2741
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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