Individual
DR. JENNIFER JEAN NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8350 RICHMOND HWY STE 233, ALEXANDRIA, VA 22309-2344
(703) 704-6181
Mailing address
11644 SANDAL WOOD LN, MANASSAS, VA 20112-3000
(570) 713-8032
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
0401415601
VA
1223G0001X
General Practice Dentistry
DS040917
PA
Other
Enumeration date
07/04/2016
Last updated
10/13/2017
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