Organization
BDG SPECIALTY LLC
Active
Other names
NOVA Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
AILEEN CHYN KIM (OWNER)
(703) 677-7202
Entity
Organization
Contact information
Practice address
6120 BRANDON AVE STE 314, SPRINGFIELD, VA 22150-2504
(703) 569-0000
Mailing address
3807 GLENBROOK RD, FAIRFAX, VA 22031-3105
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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