| Bsaa Pllc | |
|
1239 Central Park Blvd Fredericksburg VA 22401-4912 | |
| (540) 785-3733 | |
| (540) 785-0939 |
| Full Name | Bsaa Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1239 Central Park Blvd, Fredericksburg, Virginia |
| Authorized Official Name and Position | Winfield Scott Shirk (OWNER) |
| Authorized Official Contact | 5407853733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bsaa Pllc 1239 Central Park Blvd Fredericksburg VA 22401-4912 Ph: (540) 785-3733 | Bsaa Pllc 1239 Central Park Blvd Fredericksburg VA 22401-4912 Ph: (540) 785-3733 |
| NPI Number | 1083433890 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083433890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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