# IDEAL ENDODONTICS OF WOODBRIDGE PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205307238
- **Authorized official:** MOEIN JABBAR DARJANI DDS (OWNER)
- **Authorized official phone:** (310) 402-4038

## Contact information

- **Practice address:** 3102 GOLANSKY BLVD STE 101, WOODBRIDGE, VA 22192-4244
- **Practice address phone:** (571) 991-3700
- **Mailing address:** 3102 GOLANSKY BLVD STE 101, WOODBRIDGE, VA 22192-4244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2018
- **Last updated:** 12/17/2018