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Organization

NOVA CENTER FOR DENTAL SLEEP TREATMENT PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEITH KALLAS (MEMBER)
(703) 559-3419
Entity
Organization

Contact information

Practice address
2810 OLD LEE HWY, STE 200A, FAIRFAX, VA 22031-4376
(703) 559-3419
Mailing address
2810 OLD LEE HWY, STE 200A, FAIRFAX, VA 22031-4376
(703) 559-3419

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008829
VA

Other

Enumeration date
09/17/2015
Last updated
09/17/2015
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