OrganizationActive
Advanced Cosmetic Dentistry of Nova
NPI 1669772901 · Dentist · Fairfax, VA
Provider details
- NPI number
- 1669772901
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jennifer Kim, Owner(703) 865-6880
- License
- 0401412307 (VA)
Specialties & taxonomies
Dental Providers
Practice location
3903 Fair Ridge Dr
Suite # 212
Fairfax, VA 22033-2943
Phone: (703) 865-6880
Approximate (ZIP-level) locationGet directions
Mailing address
3903 Fair Ridge Dr
Fairfax, VA 22033-2943
Registry dates
- Enumerated
- 2010-11-02
- Last updated
- 2010-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.