Individual
JENNIFER WADIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 PARK HILL DR, STE A, FREDERICKSBURG, VA 22401
(540) 373-0602
Mailing address
131 PARK HILL DR STE A, FREDERICKSBURG, VA 22401-3357
(540) 373-0602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410109
VA
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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