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1578309696
TABASOM SANJIDEH
MANASSAS, VA
NPI
1578309696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401419047)
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
Dr. TABASOM SANJIDEH DMD, MMS
10051 MARKET CIR
MANASSAS, VA 20110-2120
Phone number: 703-214-2619
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Mailing Address
Dr. TABASOM SANJIDEH DMD, MMS
21759 GADWALL SQUARE #F
ASHBURN, VA 20147
Phone number: 571-437-4409
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