| Sebastian M Bouroncle Dds4 Fredericksburg Pllc | |
|
11111 Leavells Rd Fredericksburg VA 22407-5015 | |
| (540) 898-1747 | |
| Not Available |
| Full Name | Sebastian M Bouroncle Dds4 Fredericksburg Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11111 Leavells Rd, Fredericksburg, Virginia |
| Authorized Official Name and Position | Sebastian M Bouroncle (DENTIST OWNER) |
| Authorized Official Contact | 5408981747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sebastian M Bouroncle Dds4 Fredericksburg Pllc 11111 Leavells Rd Fredericksburg VA 22407-5015 Ph: (540) 898-1747 | Sebastian M Bouroncle Dds4 Fredericksburg Pllc 11111 Leavells Rd Fredericksburg VA 22407-5015 Ph: (540) 898-1747 |
| NPI Number | 1811770472 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811770472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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