Individual
MOJGAN SHAAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3541 CHAIN BRIDGE RD STE 3, FAIRFAX, VA 22030-2793
(703) 273-3663
Mailing address
3541 CHAIN BRIDGE RD STE 3, FAIRFAX, VA 22030-2793
(703) 273-3663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007695
VA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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