Individual
DR. SHOHREH SHAHRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8605 WESTWOOD CENTER DR, SUITE 210, VIENNA, VA 22182-2240
(703) 442-0770
(703) 442-0771
Mailing address
8605 WESTWOOD CENTER DR, SUITE 210, VIENNA, VA 22182-2240
(703) 442-0770
(703) 442-0771
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412160
VA
122300000X
Dentist
14222
MD
Other
Enumeration date
10/21/2009
Last updated
05/16/2013
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