Organization
PROGRESSIVE DENTAL OF FREDERICKSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MCAVOY (DENTIST OWNER)
(540) 785-3733
Entity
Organization
Contact information
Practice address
1239 CENTRAL PARK BLVD, FREDERICKSBURG, VA 22401-1003
(434) 851-8835
Mailing address
1239 CENTRAL PARK BLVD, FREDERICKSBURG, VA 22401-4912
(540) 785-3733
(540) 785-0939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006911
VA
Other
Enumeration date
06/21/2014
Last updated
08/11/2014
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