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Organization
NOVA SURGICARE
Active
Organization
NOVA SURGICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANAZ HAMRAH (OFFICE MANAGER)
(703) 288-4495
Entity
Organization
Contact information
Practice address
8201 GREENSBORO DR, SUITE 601, MC LEAN, VA 22102-3810
(703) 288-4495
(703) 288-4497
Mailing address
8201 GREENSBORO DR, SUITE 601, MC LEAN, VA 22102-3810
(703) 288-4495
(703) 288-4497
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000250
VA
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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