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Contact Information

IDEAL ENDODONTICS OF WOODBRIDGE PLLC
3102 GOLANSKY BLVD STE 101
WOODBRIDGE, VA22192-4244
 Phone: 571-991-3700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for IDEAL ENDODONTICS OF WOODBRIDGE PLLC

NPI # 1205307238
LBN Legal business name IDEAL ENDODONTICS OF WOODBRIDGE PLLC
Authorized official MOEIN JABBAR DARJANI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/17/2018
Last updated 12/17/2018 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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