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1003479627
NOVA LIFESMILES PLLC
LEESBURG, VA
NPI
1003479627
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Entity Type
Organization
Authorized Contact
JOSEF WOLLMANN
Manager
949-350-0122
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-04-18
Last Update Date
2019-04-18
Business Address
NOVA LIFESMILES PLLC
17 FORT EVANS RD NE STE C
LEESBURG, VA 20176-4400
Phone number: 703-777-5025
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Mailing Address
NOVA LIFESMILES PLLC
21866 ENGLESIDE PL
BROADLANDS, VA 20148-4543
Phone number: 949-350-0122
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