Individual
GROVER PRESTON BURNS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
242 BUTLER RD, SUITE 101, FREDERICKSBURG, VA 22405-2441
(540) 373-6557
(540) 373-6562
Mailing address
242 BUTLER RD, SUITE 101, FREDERICKSBURG, VA 22405-2441
(540) 373-6557
(540) 373-6562
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004384
VA
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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