Organization
FRED A BUBERNAK DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED ALBERT BUBERNAK DDS (DENTIST)
(703) 494-2545
Entity
Organization
Contact information
Practice address
1972 OPITZ BLVD, WOODBRIDGE, VA 22191-3304
(703) 494-2545
(703) 497-1272
Mailing address
1972 OPITZ BLVD, WOODBRIDGE, VA 22191-3304
(703) 494-2545
(703) 497-1272
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
05126
VA
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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