| Fredericksburg Dental Professionals,pllc | |
|
4510 Plank Rd Suite # 100 Fredericksburg VA 22407-0138 | |
| (540) 412-9527 | |
| Not Available |
| Full Name | Fredericksburg Dental Professionals,pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4510 Plank Rd, Fredericksburg, Virginia |
| Authorized Official Name and Position | Nadeem Qureshi (DENTIST/OWNER) |
| Authorized Official Contact | 5404129527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredericksburg Dental Professionals,pllc 4510 Plank Rd Suite # 100 Fredericksburg VA 22407-0138 Ph: () - | Fredericksburg Dental Professionals,pllc 4510 Plank Rd Suite # 100 Fredericksburg VA 22407-0138 Ph: (540) 412-9527 |
| NPI Number | 1457664039 |
|---|---|
| Provider Enumeration Date | 07/23/2010 |
| Last Update Date | 07/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457664039 | NPI | - | NPPES |
| 11597 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401411976 (Virginia) | Primary |
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