| Nova Healthy Smiles Pllc | |
|
12502 Dardanelle Ct Herndon VA 20170-5731 | |
| (202) 492-0034 | |
| Not Available |
| Full Name | Nova Healthy Smiles Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12502 Dardanelle Ct, Herndon, Virginia |
| Authorized Official Name and Position | Ibraheem Samirah (OWNER/DDS) |
| Authorized Official Contact | 2024920034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Healthy Smiles Pllc 12502 Dardanelle Ct Herndon VA 20170-5731 Ph: () - | Nova Healthy Smiles Pllc 12502 Dardanelle Ct Herndon VA 20170-5731 Ph: (202) 492-0034 |
| NPI Number | 1659055259 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659055259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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