Individual
NADA ALI SHIHADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 ELDEN ST, HERNDON, VA 20170-4873
(703) 303-7777
Mailing address
2971 COVINGTON SQUARE WAY, FAIRFAX, VA 22031-1969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419144
VA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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