Individual
SHAWDI ASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1477 CHAIN BRIDGE RD STE 101, MC LEAN, VA 22101-5729
(703) 448-9100
Mailing address
413 UPHAM PL NW, VIENNA, VA 22180-4126
(410) 303-0555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413938
VA
Other
Enumeration date
03/06/2012
Last updated
01/15/2019
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