Individual
SHELBY SARRADET HEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9360 RICHMOND HWY, LORTON, VA 22079-1827
(703) 495-9992
Mailing address
11728 DECADE CT, RESTON, VA 20191-2942
(512) 363-0215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419208
VA
1223G0001X
General Practice Dentistry
39426
TX
1223G0001X
General Practice Dentistry
D-0007077-C1
AL
Other
Enumeration date
06/20/2022
Last updated
02/25/2025
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