NPI 1053823336

Springfield Dental Group, PC

Organisation Dentist Springfield, VA

Practice location

Address: 8056 Rolling Rd, Springfield, VA 22153-2928
Phone: (571) 295-5683
Mailing address: PO Box 920050, Dallas, TX 75392-0050

Authorised official

Name: Mahdi Mojarrad
Title: Dmd/Owner
Phone: (571) 295-5683

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1053823336
Entity type: Organization
NPI issued: 26 Oct 2017
Record last updated: 5 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.