DR. Mina T Mostofi, DMD
NPI #1972787380 in Lake Ridge, Virginia
Provider Information
- NPI Number
- 1972787380
- Entity Type
- Individual
- Name
- DR. Mina T Mostofi, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Dec 20, 2007
- Last Updated
- Dec 20, 2007
Practice Location
- Address
- 12724 DIRECTORS LOOP
- City
- Lake Ridge
- State
- Virginia
- ZIP Code
- 22192-2462
- Phone
- (703) 494-9171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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