Organization
YOGI DENTAL PLLC
Active
Other names
Light Family Dental-Woodbridge
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYUR M PATEL DDS (OWNER)
(703) 492-1999
Entity
Organization
Contact information
Practice address
14416 JEFFERSON DAVIS HWY STE 16, WOODBRIDGE, VA 22191-2890
(703) 492-1999
Mailing address
14416 JEFFERSON DAVIS HWY STE 16, WOODBRIDGE, VA 22191-2890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413519
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401412959
VA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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