Individual
DR. SHABAAN PERVAIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7120 HERITAGE VILLAGE PLZ STE 101, GAINESVILLE, VA 20155-3068
(703) 349-0099
(703) 349-0099
Mailing address
7120 HERITAGE VILLAGE PLZ STE 101, GAINESVILLE, VA 20155-3068
(703) 349-0099
(703) 349-0099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417763
VA
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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