Dental Family Practice
Dental Family Practice provides General Practice Dentistry in Lake Ridge, Virginia. Licensed in Virginia. Registered with an NPI since 2007.
- Licensed in
- VA
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
12724 Directors LoopLake Ridge, VA 22192-2462 Not confirmed with CMS for 18 years — call before visiting
Phone: (703) 494-9171
Fax: (703) 490-4066
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 0401007810 (VA) |
|---|---|
| Periodontics | Taxonomy 1223P0300X · Licence 0401008961 (VA) |
| Orthodontics and Dentofacial Orthopedics Dentistry | Taxonomy 1223X0400X · Licence 0401410790 (VA) |
Record details
| NPI number | 1558483305 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mina Mostofi — Dentist · (703) 494-9171 |
| Other names | Lake Ridge Dental Clinic |
| NPI enumerated | April 4, 2007 |
| Last updated in NPPES | June 23, 2008 |
| Mailing address | 12724 Directors Loop, Lake Ridge, VA 22192-2462 |
Other providers in Lake Ridge
-
Dr. Mina T Mostofi, DMD
12724 Directors Loop, Lake Ridge, VA 22192-2462 · (703) 494-9171
-
Robert C Dost DDS PLLC
1990 Old Bridge Rd Ste #301, Lake Ridge, VA 22192-2383 · (703) 491-4040