Nova Lifesmiles Pllc

NPI #1003479627 in Leesburg, Virginia

Provider Information

NPI Number
1003479627
Entity Type
Organization
Organization Name
Nova Lifesmiles Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 18, 2019
Last Updated
Apr 18, 2019

Practice Location

Address
17 FORT EVANS RD NE STE C
ZIP Code
20176-4400
Phone
(703) 777-5025

Authorized Official

Name
DR. JOSEF WOLLMANN, DDS
Title
MANAGER
Phone
(949) 350-0122

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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