# NOVA SURGICARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184055501
- **Authorized official:** SANAZ HAMRAH (OFFICE MANAGER)
- **Authorized official phone:** (703) 288-4495

## Contact information

- **Practice address:** 8201 GREENSBORO DR, SUITE 601, MC LEAN, VA 22102-3810
- **Practice address phone:** (703) 288-4495
- **Practice address fax:** (703) 288-4497
- **Mailing address:** 8201 GREENSBORO DR, SUITE 601, MC LEAN, VA 22102-3810
- **Mailing address phone:** (703) 288-4495
- **Mailing address fax:** (703) 288-4497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0438000250 | VA | Yes |

## Other

- **Enumeration date:** 12/11/2013
- **Last updated:** 12/11/2013