# YOGI DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Light Family Dental-Woodbridge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366787608
- **Authorized official:** DR. MAYUR M PATEL DDS (OWNER)
- **Authorized official phone:** (703) 492-1999

## Contact information

- **Practice address:** 14416 JEFFERSON DAVIS HWY STE 16, WOODBRIDGE, VA 22191-2890
- **Practice address phone:** (703) 492-1999
- **Mailing address:** 14416 JEFFERSON DAVIS HWY STE 16, WOODBRIDGE, VA 22191-2890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401413519 | VA | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 0401412959 | VA | — |

## Other

- **Enumeration date:** 11/27/2012
- **Last updated:** 11/27/2012