Organization · Type 2 NPI
Nova Lifesmiles PLLC
Dental Clinic/Center · Leesburg, VA
NPI number
1003479627
Active
Practice location
17 Fort Evans Rd NE Ste C
Leesburg, VA 20176-4400
Mailing address
21866 Engleside Pl
Broadlands, VA 20148-4543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1003479627
Nova Lifesmiles PLLC's National Provider Identifier is 1003479627, issued on Apr 18, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Leesburg, VA. The record was last updated on Apr 18, 2019.