| Fred A Bubernak Dds Ltd | |
|
1972 Opitz Blvd Woodbridge VA 22191-3304 | |
| (703) 494-2545 | |
| (703) 497-1272 |
| Full Name | Fred A Bubernak Dds Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1972 Opitz Blvd, Woodbridge, Virginia |
| Authorized Official Name and Position | Fred Albert Bubernak (DENTIST) |
| Authorized Official Contact | 7034942545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred A Bubernak Dds Ltd 1972 Opitz Blvd Woodbridge VA 22191-3304 Ph: (703) 494-2545 | Fred A Bubernak Dds Ltd 1972 Opitz Blvd Woodbridge VA 22191-3304 Ph: (703) 494-2545 |
| NPI Number | 1912110800 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912110800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 05126 (Virginia) | Primary |
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