Individual
SHAINA RACHEL WASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8393 LEESBURG PIKE, VIENNA, VA 22182-2402
(703) 745-1797
Mailing address
12228 TRIPLE CROWN RD, NORTH POTOMAC, MD 20878-3785
(301) 801-2211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419210
VA
1223G0001X
General Practice Dentistry
DEN.00205223
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
01/06/2025
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