| Nova Dental Gaithersburg Llc | |
|
806 W Diamond Ave Ste 300 Gaithersburg MD 20878-1415 | |
| (240) 477-8006 | |
| (240) 477-7944 |
| Full Name | Nova Dental Gaithersburg Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 806 W Diamond Ave Ste 300, Gaithersburg, Maryland |
| Authorized Official Name and Position | Dmitry Nova (OWNER/MEMBER) |
| Authorized Official Contact | 2404778006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Dental Gaithersburg Llc 806 W Diamond Ave Ste 300 Gaithersburg MD 20878-1415 Ph: (240) 477-8006 | Nova Dental Gaithersburg Llc 806 W Diamond Ave Ste 300 Gaithersburg MD 20878-1415 Ph: (240) 477-8006 |
| NPI Number | 1992189963 |
|---|---|
| Provider Enumeration Date | 07/19/2015 |
| Last Update Date | 07/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992189963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11190 (Maryland) | Primary |
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