Organization
CARLOS ALAN HERESI, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS ALAN HERESI DDS (DENTIST)
(540) 371-6929
Entity
Organization
Contact information
Practice address
2501 FALL HILL AVE, SUITE A, FREDERICKSBURG, VA 22401-3345
(540) 371-6929
Mailing address
2501 FALL HILL AVE, SUITE A, FREDERICKSBURG, VA 22401-3345
(540) 371-6929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412533
VA
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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