Nova Center for Dental Sleep Treatment Pllc

NPI #1497111892 in Vienna, Virginia

Provider Information

NPI Number: 1497111892
Entity Type: Organization
Organization Name: Nova Center for Dental Sleep Treatment Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 14, 2016
Last Updated: Jan 14, 2016

Practice Location

Address: 8310 OLD COURTHOUSE RD
Address 2: SUITE A
City: Vienna
State: Virginia
ZIP Code: 22182-3872
Phone: (703) 559-3419

Authorized Official

Name: DR. GEITH KALLAS, DDS
Title: MEMBER
Phone: (703) 559-3419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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