Organization
FREDERICKSBURG DENTIST AND IMPLANT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIONY HAGAR DDS (OWNER)
(540) 548-2605
Entity
Organization
Contact information
Practice address
12104 SHERATON HILLS DR, FREDERICKSBURG, VA 22407-6748
(540) 548-2605
Mailing address
12104 SHERATON HILLS DR, FREDERICKSBURG, VA 22407-6748
(540) 548-2605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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