# BDG SPECIALTY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NOVA Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720821523
- **Authorized official:** AILEEN CHYN KIM (OWNER)
- **Authorized official phone:** (703) 677-7202

## Contact information

- **Practice address:** 6120 BRANDON AVE STE 314, SPRINGFIELD, VA 22150-2504
- **Practice address phone:** (703) 569-0000
- **Mailing address:** 3807 GLENBROOK RD, FAIRFAX, VA 22031-3105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2024
- **Last updated:** 06/18/2024