| NPI | 1811770472 |
|---|---|
| Doing Business As | NEW SMILES DENTAL FREDERICKSBURG |
| Entity Type | Organization |
| Authorized Contact | SEBASTIAN M BOURONCLE Dentist Owner 540-898-1747 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |