Organization
NOVA LIFESMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEF WOLLMANN DDS (MANAGER)
(949) 350-0122
Entity
Organization
Contact information
Practice address
17 FORT EVANS RD NE STE C, LEESBURG, VA 20176-4400
(703) 777-5025
Mailing address
21866 ENGLESIDE PL, BROADLANDS, VA 20148-4543
(949) 350-0122
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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