Advanced Cosmetic Dentistry of Nova

NPI #1669772901 in Fairfax, Virginia

Provider Information

NPI Number: 1669772901
Entity Type: Organization
Organization Name: Advanced Cosmetic Dentistry of Nova
Primary Specialty: Dentist
Enumeration Date: Nov 2, 2010
Last Updated: Nov 2, 2010

Practice Location

Address: 3903 FAIR RIDGE DR
Address 2: SUITE # 212
City: Fairfax
State: Virginia
ZIP Code: 22033-2943
Phone: (703) 865-6880

Authorized Official

Name: DR. JENNIFER KIM, DMD
Title: OWNER
Phone: (703) 865-6880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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