# FREDERICKSBURG DENTAL PROFESSIONALS,PLLC

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

## Provider details

- **NPI number:** 1457664039
- **Authorized official:** NADEEM QURESHI (DENTIST/OWNER)
- **Authorized official phone:** (540) 412-9527

## Contact information

- **Practice address:** 4510 PLANK RD, SUITE \# 100, FREDERICKSBURG, VA 22407-0138
- **Practice address phone:** (540) 412-9527
- **Mailing address:** 4510 PLANK RD, SUITE \# 100, FREDERICKSBURG, VA 22407-0138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401411976 | VA | Yes |

## Other

- **Enumeration date:** 07/23/2010
- **Last updated:** 07/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 11597 | — | VA |