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Organization
NOVA CENTER FOR DENTAL SLEEP TREATMENT PLLC
Active
Organization
NOVA CENTER FOR DENTAL SLEEP TREATMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEITH KALLAS (MEMBER)
(703) 559-3419
Entity
Organization
Contact information
Practice address
2810 OLD LEE HWY, STE 200A, FAIRFAX, VA 22031-4376
(703) 559-3419
Mailing address
2810 OLD LEE HWY, STE 200A, FAIRFAX, VA 22031-4376
(703) 559-3419
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008829
VA
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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