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Organization
FREDERICKSBURG DENTAL PROFESSIONALS,PLLC
Active
Organization
FREDERICKSBURG DENTAL PROFESSIONALS,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADEEM QURESHI (DENTIST/OWNER)
(540) 412-9527
Entity
Organization
Contact information
Practice address
4510 PLANK RD, SUITE # 100, FREDERICKSBURG, VA 22407-0138
(540) 412-9527
Mailing address
4510 PLANK RD, SUITE # 100, FREDERICKSBURG, VA 22407-0138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411976
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11597
—
VA
Enumeration date
07/23/2010
Last updated
07/23/2010
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