Individual
SHAGHAYEGH SOBHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12104 SHERATON HILLS DR, FREDERICKSBURG, VA 22407-6748
(540) 548-2605
Mailing address
25523 BERESFORD DR, CHANTILLY, VA 20152-3903
(352) 283-2996
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401418089
VA
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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