Individual
SADIA MAHEDAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 PAYNE ST, SUITE 101, FALLS CHURCH, VA 22041-2313
(703) 578-0000
Mailing address
20573 MIDDLEBURY ST, ASHBURN, VA 20147-7455
(484) 319-2912
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
401414129
VA
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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