# MIGNONETTE LOBO INC

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

## Provider details

- **NPI number:** 1578685939
- **Authorized official:** MIGNONETTE ESTHER LOBO (PRESIDENT)
- **Authorized official phone:** (703) 536-4900

## Contact information

- **Practice address:** 6319 CASTLE PL, SUITE 1A, FALLS CHURCH, VA 22044-1907
- **Practice address phone:** (703) 536-4900
- **Practice address fax:** (703) 532-4988
- **Mailing address:** 6319 CASTLE PL, SUITE 1A, FALLS CHURCH, VA 22044-1907
- **Mailing address phone:** (703) 536-4900
- **Mailing address fax:** (703) 532-4988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401410656 | VA | Yes |

## Other

- **Enumeration date:** 04/05/2007
- **Last updated:** 08/22/2020