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Provider Information for 1083866792

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

SHAHROKH SOLTANI DMD

Gender: MALE

Individual NPI: 1083866792

Calendar   Last Updated:  2008-10-14
  Certification Date: 

Details

Name Value
NPI 1083866792
Enumeration Date 2008-10-14
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 671 N GLEBE RD STE 1260
ARLINGTON, VA 22203-2137
United States

Phone: 703-294-6144 | Fax: 703-294-6147
View Map External Link
Primary Practice Address 671 NORTH GLEBE ROAD 1260
ARLINGTON, VA 22203
United States

Phone: 703-294-6144 | Fax: 703-294-6147
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice MA 10158