| Carlos Alan Heresi, Dds, Pc | |
|
2501 Fall Hill Ave Suite A Fredericksburg VA 22401-3345 | |
| (540) 371-6929 | |
| Not Available |
| Full Name | Carlos Alan Heresi, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2501 Fall Hill Ave, Fredericksburg, Virginia |
| Authorized Official Name and Position | Carlos Alan Heresi (DENTIST) |
| Authorized Official Contact | 5403716929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Alan Heresi, Dds, Pc 2501 Fall Hill Ave Suite A Fredericksburg VA 22401-3345 Ph: (540) 371-6929 | Carlos Alan Heresi, Dds, Pc 2501 Fall Hill Ave Suite A Fredericksburg VA 22401-3345 Ph: (540) 371-6929 |
| NPI Number | 1053604512 |
|---|---|
| Provider Enumeration Date | 05/17/2011 |
| Last Update Date | 05/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053604512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401412533 (Virginia) | Primary |
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