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1619628609
SHABAAN PERVAIZ
GAINESVILLE, VA
NPI
1619628609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401417763)
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
Dr. SHABAAN PERVAIZ DDS
7120 HERITAGE VILLAGE PLZ STE 101
GAINESVILLE, VA 20155-3068
Phone number: 703-349-0099
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Mailing Address
Dr. SHABAAN PERVAIZ DDS
7120 HERITAGE VILLAGE PLZ STE 101
GAINESVILLE, VA 20155-3068
Phone number: 703-349-0099
Copy
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