Individual
MRS. ROSHANAK RASTEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
135 CONSTON AVE, CHRISTIANSBURG, VA 24073-1151
(540) 385-4501
(205) 934-7013
Mailing address
7911 WESTPARK DR APT 1915, MC LEAN, VA 22102-4296
(205) 383-6717
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0101418229
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2018
Last updated
12/12/2022
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