| NPI | 1689899726 |
|---|---|
| Former Legal Business Name | FREDRICKSBURG ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SIHAM ZIANE Office Manager 540-785-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: VA 0401007980) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2017-02-07 |