Individual
SHAHAD AL MASHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6468 TRADING SQ, HAYMARKET, VA 20169-2277
(571) 290-8594
Mailing address
20713 RIPTIDE SQ, STERLING, VA 20165-7436
(571) 290-8594
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417526
VA
Other
Enumeration date
08/09/2021
Last updated
08/11/2025
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