Organization
MIGNONETTE LOBO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGNONETTE ESTHER LOBO (PRESIDENT)
(703) 536-4900
Entity
Organization
Contact information
Practice address
6319 CASTLE PL, SUITE 1A, FALLS CHURCH, VA 22044-1907
(703) 536-4900
(703) 532-4988
Mailing address
6319 CASTLE PL, SUITE 1A, FALLS CHURCH, VA 22044-1907
(703) 536-4900
(703) 532-4988
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401410656
VA
Other
Enumeration date
04/05/2007
Last updated
08/22/2020
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