Individual
MUJAHIDA MAHMOODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
50 DUNN DR STE 105, STAFFORD, VA 22556-1500
(571) 242-0162
Mailing address
50 DUNN DR STE 105, STAFFORD, VA 22556-1500
(571) 242-0162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417640
VA
122300000X
Dentist
DEN2000061
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2021
Last updated
11/07/2024
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