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Organization
BSAA PLLC
Active
Organization
BSAA PLLC
Active
Other names
Progressive Dental of Fredericksburg
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINFIELD SCOTT SHIRK DDS (OWNER)
(540) 785-3733
Entity
Organization
Contact information
Practice address
1239 CENTRAL PARK BLVD, FREDERICKSBURG, VA 22401-4912
(540) 785-3733
(540) 785-0939
Mailing address
1239 CENTRAL PARK BLVD, FREDERICKSBURG, VA 22401-4912
(540) 785-3733
(540) 785-0939
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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