| Advanced Cosmetic Dentistry Of Nova | |
|
3903 Fair Ridge Dr Suite # 212 Fairfax VA 22033-2943 | |
| (703) 865-6880 | |
| Not Available |
| Full Name | Advanced Cosmetic Dentistry Of Nova |
|---|---|
| Speciality | Dentist |
| Location | 3903 Fair Ridge Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Jennifer Kim (OWNER) |
| Authorized Official Contact | 7038656880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Cosmetic Dentistry Of Nova 3903 Fair Ridge Dr Suite # 212 Fairfax VA 22033-2943 Ph: (703) 865-6880 | Advanced Cosmetic Dentistry Of Nova 3903 Fair Ridge Dr Suite # 212 Fairfax VA 22033-2943 Ph: (703) 865-6880 |
| NPI Number | 1669772901 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 11/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669772901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401412307 (Virginia) | Primary |
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