| NPI | 1649555673 |
|---|---|
| Doing Business As | NOVA FAMILY DENTIST |
| Entity Type | Organization |
| Authorized Contact | JYOTHI KONERU Presient&CEO 703-953-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410786) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |