# NOVA CENTER FOR DENTAL SLEEP TREATMENT PLLC

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

## Provider details

- **NPI number:** 1740659044
- **Authorized official:** DR. GEITH KALLAS (MEMBER)
- **Authorized official phone:** (703) 559-3419

## Contact information

- **Practice address:** 2810 OLD LEE HWY, STE 200A, FAIRFAX, VA 22031-4376
- **Practice address phone:** (703) 559-3419
- **Mailing address:** 2810 OLD LEE HWY, STE 200A, FAIRFAX, VA 22031-4376
- **Mailing address phone:** (703) 559-3419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401008829 | VA | Yes |

## Other

- **Enumeration date:** 09/17/2015
- **Last updated:** 09/17/2015