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Organization

SEBASTIAN M BOURONCLE DDS4 FREDERICKSBURG PLLC

Active
Parent organization
SEBASTIAN M BOURONCLE DDS4 FREDERICKSBURG PLLC
Other names
New Smiles Dental Fredericksburg
Organization subpart
Yes

Provider details

NPI number
Legal business name
SEBASTIAN M BOURONCLE DDS4 FREDERICKSBURG PLLC
Authorized official
DR. SEBASTIAN M BOURONCLE DDS (DENTIST OWNER)
(540) 898-1747
Entity
Organization

Contact information

Practice address
11111 LEAVELLS RD, FREDERICKSBURG, VA 22407-5015
(540) 898-1747
Mailing address
11111 LEAVELLS RD, FREDERICKSBURG, VA 22407-5015
(540) 898-1747

Taxonomy

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

Other

Enumeration date
08/17/2023
Last updated
08/17/2023
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