| NPI | 1063614576 |
|---|---|
| Doing Business As | FREDERICKSBURG SMILE CENTER |
| Entity Type | Organization |
| Authorized Contact | GWYN T MONROE Business Supervisor 540-899-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006575) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |