| Nova Dental | |
|
11872 Sunrise Valley Dr Suite 101 Reston VA 20191-3321 | |
| (571) 313-1535 | |
| Not Available |
| Full Name | Nova Dental |
|---|---|
| Speciality | Dentist |
| Location | 11872 Sunrise Valley Dr, Reston, Virginia |
| Authorized Official Name and Position | Richard Sun (PRESIDENT) |
| Authorized Official Contact | 5713131535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Dental 11872 Sunrise Valley Dr Suite 101 Reston VA 20191-3321 Ph: () - | Nova Dental 11872 Sunrise Valley Dr Suite 101 Reston VA 20191-3321 Ph: (571) 313-1535 |
| NPI Number | 1366794026 |
|---|---|
| Provider Enumeration Date | 10/04/2012 |
| Last Update Date | 10/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366794026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401411269 (Virginia) | Primary |
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