Root Modern Dentistry

NPI #1174203871 in Ashland, Virginia

Provider Information

NPI Number: 1174203871
Entity Type: Organization
Organization Name: Root Modern Dentistry
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 19, 2023
Last Updated: Jul 19, 2023

Practice Location

Address: 250 N WASHINGTON HWY STE A
City: Ashland
State: Virginia
ZIP Code: 23005-1624
Phone: (804) 406-4404

Authorized Official

Name: DR. CHRISKA MUSTAFA, DDS
Title: OWNER/DENTIST
Phone: (202) 489-5972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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