DR. Shabnam Ravadgar, D.M.D.

NPI #1295114841 in Herndon, Virginia

Provider Information

NPI Number
1295114841
Entity Type
Individual
Name
DR. Shabnam Ravadgar, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
May 28, 2015
Last Updated
Apr 12, 2022

Practice Location

Address
494 ELDEN ST STE 220
ZIP Code
20170-4543
Phone
(703) 574-1716

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist

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