# FREDERICKSBURG DENTAL CARE

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

## Provider details

- **NPI number:** 1932374683
- **Authorized official:** MRS. DANA MUNDY (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (540) 898-8616

## Contact information

- **Practice address:** 10620 COURTHOUSE RD, FREDERICKSBURG, VA 22407-1602
- **Practice address phone:** (540) 898-8616
- **Practice address fax:** (540) 898-7755
- **Mailing address:** 10620 COURTHOUSE RD, FREDERICKSBURG, VA 22407-1602
- **Mailing address phone:** (540) 898-8616
- **Mailing address fax:** (540) 898-7755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 04/24/2008