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Organization

DR CARLOS A. HERESI & ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS A. HERESI (DOCTOR)
(571) 218-5301
Entity
Organization

Contact information

Practice address
112 FALCON DR, FREDERICKSBURG, VA 22408-1931
(540) 898-8805
Mailing address
112 FALCON DR, FREDERICKSBURG, VA 22408-1931

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401412533
VA

Other

Enumeration date
01/05/2015
Last updated
01/05/2015
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