Organization
NOVA CENTER FOR DENTAL SLEEP TREATMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEITH KALLAS DDS (MEMBER)
(703) 559-3419
Entity
Organization
Contact information
Practice address
5659 COLUMBIA PIKE, SUITE 100, FALLS CHURCH, VA 22041-2878
(703) 559-3419
Mailing address
5659 COLUMBIA PIKE, SUITE 100, FALLS CHURCH, VA 22041-2878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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