# SPRINGFIELD DENTAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Springfield Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053823336
- **Authorized official:** MAHDI MOJARRAD (DMD/OWNER)
- **Authorized official phone:** (571) 295-5683

## Contact information

- **Practice address:** 8056 ROLLING RD, SPRINGFIELD, VA 22153-2928
- **Practice address phone:** (571) 295-5683
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-0050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2017
- **Last updated:** 08/05/2022