Organization
N R EMAD DDS PC
Active
Other names
Nova Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA R FULTON (FRONT DESK)
(703) 938-7615
Entity
Organization
Contact information
Practice address
307 F MAPLE AVE. W #100, VIENNA, VA 22180
(703) 938-7615
(703) 242-9417
Mailing address
307 F MAPLE AVE. W #100, VIENNA, VA 22180
(703) 938-7615
(703) 242-9417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
401007185
VA
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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