Individual
DR. SHABREZ AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5812 MAPLEDALE PLZ, WOODBRIDGE, VA 22193-4535
(703) 580-9900
Mailing address
5812 MAPLEDALE PLZ, WOODBRIDGE, VA 22193-4535
(703) 580-9900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411895
VA
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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