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Organization
FREDERICKSBURG DENTIST AND IMPLANT CENTER, INC.
Active
Organization
FREDERICKSBURG DENTIST AND IMPLANT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIONY HAGAR DDS (OWNER)
(540) 548-2605
Entity
Organization
Contact information
Practice address
12104 SHERATON HILLS DR, FREDERICKSBURG, VA 22407-6748
(540) 548-2605
Mailing address
12104 SHERATON HILLS DR, FREDERICKSBURG, VA 22407-6748
(540) 548-2605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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