Modaresi, Mina
Modaresi, Mina is an individual health care provider with primary practice located at 45985 Regal Plz Suite 160, Sterling VA 20165-6144. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Modaresi, Mina can be contacted via phone (703) 433-1122.Contact Information
Primary practice address
45985 Regal Plz Suite 160
Sterling VA 20165-6144
Phone: (703) 433-1122
Fax: (703) 433-0907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401410066 | Virginia |
Profile Details
| NPI number | 1073626818 |
|---|---|
| LBN Legal business name | Modaresi, Mina |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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