Individual
DR. CARLOS ALAN HERESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2501 FALL HILL AVE STE A, FREDERICKSBURG, VA 22401-3345
(540) 371-6929
Mailing address
2501 FALL HILL AVE, FREDERICKSBURG, VA 22401-3345
(540) 371-6929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412533
VA
Other
Enumeration date
07/03/2007
Last updated
09/16/2022
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