Provider Demographics
NPI:1801068044
Name:VARSHOVI, MAHSA (DDS)
Entity type:Individual
Prefix:DR
First Name:MAHSA
Middle Name:
Last Name:VARSHOVI
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11612 ESTES ANDERSON WAY
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5943
Mailing Address - Country:US
Mailing Address - Phone:804-625-4342
Mailing Address - Fax:804-551-9947
Practice Address - Street 1:30 COURTHOUSE RD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-3124
Practice Address - Country:US
Practice Address - Phone:804-794-2026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-27
Last Update Date:2025-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014155681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice