| NPI | 1457512188 |
|---|---|
| Doing Business As | FREDERICKSBURG PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HEATHER LYNNE SPEAR-VENTRE Office Manager 540-786-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401410573) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401410972) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |