| Nova Microendodontics | |
|
6120 Brandon Ave 314 Springfield VA 22150-2522 | |
| (703) 569-0000 | |
| Not Available |
| Full Name | Nova Microendodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 6120 Brandon Ave, Springfield, Virginia |
| Authorized Official Name and Position | Michael Anthony Fabio (VICEPRESIDENT) |
| Authorized Official Contact | 7035690000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Microendodontics 6120 Brandon Ave 314 Springfield VA 22150-2522 Ph: (703) 569-0000 | Nova Microendodontics 6120 Brandon Ave 314 Springfield VA 22150-2522 Ph: (703) 569-0000 |
| NPI Number | 1093861395 |
|---|---|
| Provider Enumeration Date | 01/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093861395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Primary |
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