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Contact Information

ADVANCED COSMETIC DENTISTRY OF NOVA
3903 FAIR RIDGE DR
SUITE # 212
FAIRFAX, VA22033-2943
 Phone: 703-865-6880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ADVANCED COSMETIC DENTISTRY OF NOVA

NPI Number 1669772901
LBN Legal business name ADVANCED COSMETIC DENTISTRY OF NOVA
Authorized official JENNIFER KIM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2010
Last updated 11/02/2010 - About 16 years ago
Identifiers
VA License # 0401412307
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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