Individual
DR. SHADEN ALFAQIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
600 W ST NW, WASHINGTON, DC 20059-5904
(708) 655-4984
Mailing address
224 N FAYETTE ST, ALEXANDRIA, VA 22314
(703) 519-7275
(571) 551-2659
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401416205
VA
Other
Enumeration date
03/07/2019
Last updated
07/27/2020
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