# CARLOS ALAN HERESI, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053604512
- **Authorized official:** DR. CARLOS ALAN HERESI DDS (DENTIST)
- **Authorized official phone:** (540) 371-6929

## Contact information

- **Practice address:** 2501 FALL HILL AVE, SUITE A, FREDERICKSBURG, VA 22401-3345
- **Practice address phone:** (540) 371-6929
- **Mailing address:** 2501 FALL HILL AVE, SUITE A, FREDERICKSBURG, VA 22401-3345
- **Mailing address phone:** (540) 371-6929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401412533 | VA | Yes |

## Other

- **Enumeration date:** 05/17/2011
- **Last updated:** 05/17/2011