Individual
MINA MASOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 CENTERVIEW DR STE T, CHANTILLY, VA 20151-3288
(703) 467-0214
Mailing address
PO BOX 492, ALDIE, VA 20105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419063
VA
Other
Enumeration date
07/10/2025
Last updated
07/11/2025
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