# N R EMAD DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nova Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326454562
- **Authorized official:** MS. MARIA R FULTON (FRONT DESK)
- **Authorized official phone:** (703) 938-7615

## Contact information

- **Practice address:** 307 F MAPLE AVE. W \#100, VIENNA, VA 22180
- **Practice address phone:** (703) 938-7615
- **Practice address fax:** (703) 242-9417
- **Mailing address:** 307 F MAPLE AVE. W \#100, VIENNA, VA 22180
- **Mailing address phone:** (703) 938-7615
- **Mailing address fax:** (703) 242-9417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 401007185 | VA | Yes |

## Other

- **Enumeration date:** 07/09/2014
- **Last updated:** 07/09/2014