Mostofi, Mina T
Mostofi, Mina T is an sole proprietor health care provider with primary practice located at 12724 Directors Loop , Lake Ridge VA 22192-2462. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mostofi, Mina T can be contacted via phone (703) 494-9171.Contact Information
Primary practice address
12724 Directors Loop
Lake Ridge VA 22192-2462
Phone: (703) 494-9171
Fax: (703) 490-4066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401007810 | Virginia |
Profile Details
| NPI number | 1972787380 |
|---|---|
| LBN Legal business name | Mostofi, Mina T |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2007 |
| Last updated | Dec 20th, 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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