Organization
SHADEN DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHADEN ALFAQIH DDS (PEDIATRIC DENTIST)
(703) 679-8042
Entity
Organization
Contact information
Practice address
11150 FAIRFAX BLVD STE 400, FAIRFAX, VA 22030-5066
(703) 679-8042
Mailing address
3794 RAINIER DR, FAIRFAX, VA 22033-2990
(703) 679-8042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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