Nova Surgicare | |
8201 Greensboro Dr Suite 601 Mc Lean VA 22102-3810 | |
(703) 288-4495 | |
(703) 288-4497 |
Full Name | Nova Surgicare |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 8201 Greensboro Dr, Mc Lean, Virginia |
Authorized Official Name and Position | Sanaz Hamrah (OFFICE MANAGER) |
Authorized Official Contact | 7032884495 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nova Surgicare 8201 Greensboro Dr Suite 601 Mc Lean VA 22102-3810 Ph: (703) 288-4495 | Nova Surgicare 8201 Greensboro Dr Suite 601 Mc Lean VA 22102-3810 Ph: (703) 288-4495 |
NPI Number | 1184055501 |
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Provider Enumeration Date | 12/11/2013 |
Last Update Date | 12/11/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184055501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0438000250 (Virginia) | Primary |
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