| NPI | 1720821523 |
|---|---|
| Doing Business As | NOVA ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | AILEEN CHYN KIM Owner 703-677-7202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |