Nova Smile Design Pllc | |
11351 Random Hills Rd Fairfax VA 22030-6081 | |
(703) 865-6677 | |
Not Available |
Full Name | Nova Smile Design Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 11351 Random Hills Rd, Fairfax, Virginia |
Authorized Official Name and Position | Sylvie M Lam (OWNER / DENTIST) |
Authorized Official Contact | 2022565396 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nova Smile Design Pllc 805 Golden Arrow St Great Falls VA 22066-2517 Ph: (202) 256-5396 | Nova Smile Design Pllc 11351 Random Hills Rd Fairfax VA 22030-6081 Ph: (703) 865-6677 |
NPI Number | 1699348920 |
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Provider Enumeration Date | 07/23/2021 |
Last Update Date | 07/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699348920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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