Dental Family Practice

NPI #1558483305 in Lake Ridge, Virginia

Provider Information

NPI Number
1558483305
Entity Type
Organization
Organization Name
Dental Family Practice
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 4, 2007
Last Updated
Jun 23, 2008

Practice Location

Address
12724 DIRECTORS LOOP
ZIP Code
22192-2462
Phone
(703) 494-9171

Authorized Official

Name
DR. MINA T MOSTOFI, DMD
Title
DENTIST
Phone
(703) 494-9171

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics
Dentist - General PracticeGeneral Practice

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