Organization
FREDERICKSBURG DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW THOMAS STEWART DMD (OWNER)
(717) 865-3457
Entity
Organization
Contact information
Practice address
120 SOUTH TAN STREET, FREDERICKSBURG, PA 17026
(717) 865-3457
(717) 865-2101
Mailing address
PO BOX 69, 120 SOUTH TAN STREET, FREDERICKSBURG, PA 17026
(717) 865-3457
(717) 865-2101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25124L
PA
122300000X
Dentist
28749L
PA
Other
Enumeration date
09/01/2006
Last updated
01/02/2014
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