Individual
MIRZA SHAYAN BAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
609 E MAIN ST STE P, PURCELLVILLE, VA 20132-3182
(540) 900-0970
Mailing address
609 E MAIN ST STE P, PURCELLVILLE, VA 20132-3182
(540) 900-0970
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401419920
VA
1223G0001X
General Practice Dentistry
Primary
104285
CA
Other
Enumeration date
08/31/2019
Last updated
06/08/2026
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