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Dr. Mina T Mostofi, DMD
General Practice Dentistry in Lake Ridge, Virginia
NPI 1972787380

Mina T Mostofi is a General Practice Dentistry based in Lake Ridge, VA and is specialized in General Practice. Mina T Mostofi practices in Lake Ridge, VA and has the professional credentials of DMD. The NPI Number for Mina T Mostofi is 1972787380 and holds a License No. 0401007810 (Virginia).

The current practice location address for Mina T Mostofi is 12724 Directors Loop, Lake Ridge, VA and can be reached out via phone at 703-494-9171 and via fax at 703-490-4066.

Location: 12724 Directors Loop, Lake Ridge, VA, 22192-2462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972787380
Provider Name
Mina T Mostofi
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
12724 Directors Loop, Lake Ridge, VA, 22192-2462
Phone Number
703-494-9171
Fax Number
703-490-4066
Provider Enumeration Date
12/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12724 Directors Loop
City
Lake Ridge
State
Virginia
Zip
22192-2462
Phone Number
703-494-9171
Fax Number
703-490-4066
person
Provider Business Mailing Address Details
Address
12724 Directors Loop
City
Lake Ridge
State
Virginia
Zip
22192-2462
Phone Number
703-494-9171
Fax Number
703-490-4066
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401007810 (Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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