Nova Center for Dental Sleep Treatment Pllc

NPI #1740659044 in Fairfax, Virginia

Provider Information

NPI Number: 1740659044
Entity Type: Organization
Organization Name: Nova Center for Dental Sleep Treatment Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 17, 2015
Last Updated: Sep 17, 2015

Practice Location

Address: 2810 OLD LEE HWY
Address 2: STE 200A
City: Fairfax
State: Virginia
ZIP Code: 22031-4376
Phone: (703) 559-3419

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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