Individual
SARA MOJARRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6464 LINCOLNIA RD # A1, ALEXANDRIA, VA 22312-1066
(703) 876-6700
Mailing address
6464 LINCOLNIA RD # A1, ALEXANDRIA, VA 22312-1066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418644
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/30/2022
Last updated
01/03/2024
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