DR. Sam Mogari, D.D.S

NPI #1942355672 in Fairfax, Virginia

Provider Information

NPI Number: 1942355672
Entity Type: Individual
Name: DR. Sam Mogari, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Jan 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 12011 LEE JACKSON MEMORIAL HWY STE 106
City: Fairfax
State: Virginia
ZIP Code: 22033-3310
Phone: (703) 383-6262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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