Individual
NIRALI YOGESH MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6340 BRANDON AVE, SPRINGFIELD, VA 22150-2511
(703) 644-0080
Mailing address
5276 ELLICOTT DR, CENTREVILLE, VA 20120-1760
(703) 989-0173
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415691
VA
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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