SearchVirginiaPediatric Dentistry

Kian Momeni, DDS

NPI 1043731086 · on the registry since 2017

Practice

Address
12602 Lake Ridge Dr
Woodbridge, VA 22192
Phone
(703) 490-5050
Organisation at this address
Gina C Pham Dds Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 600 W St Nw, Washington, DC

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia