Individual
DR. SHAGHAYEGH MADANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6525C FRONTIER DR, SPRINGFIELD, VA 22150-1410
(703) 313-7000
(703) 313-7004
Mailing address
6525C FRONTIER DR, SPRINGFIELD, VA 22150-1410
(703) 313-7000
(703) 313-7004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413354
VA
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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