MEDICARE: NOVA FAMILY DENTAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1144062324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVA FAMILY DENTAL CENTER

Provider Business Mailing Address
First Line	:	3533 COLUMBIA PIKE
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-4213
Country	:	US
Telephone Number	:	703-705-9003
Fax Number	:	703-646-0964

Provider Business Practice Location Address
First Line	:	3533 COLUMBIA PIKE
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-4213
Country	:	US
Telephone Number	:	703-705-9003
Fax Number	:	703-646-0964

Authorized Official
Title or Position	:	OWNER
Name	:	CYRUS AREFI
Credential	:	DMD
Telephone Number	:	301-337-9319

Provider Enumeration Date	:	06/10/2024
Last Update Date	:	06/10/2024

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Directions to “NOVA FAMILY DENTAL CENTER ” Practice Location

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