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Fred A Bubernak Dds Ltd
Dental Clinic/Center in Woodbridge, Virginia
NPI 1912110800

Fred A Bubernak Dds Ltd is a Dental Clinic/Center based in Woodbridge, VA and is specialized in Dental. Fred A Bubernak Dds Ltd practices in Woodbridge, VA. The NPI Number for Fred A Bubernak Dds Ltd is 1912110800 and holds a License No. 05126 (Virginia).

The current practice location address for Fred A Bubernak Dds Ltd is 1972 Opitz Blvd, Woodbridge, VA and can be reached out via phone at 703-494-2545 and via fax at 703-497-1272.

Location: 1972 Opitz Blvd, Woodbridge, VA, 22191-3304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912110800
Provider Name
Fred A Bubernak Dds Ltd
Credential
Provider Entity Type
Organization
Address
1972 Opitz Blvd, Woodbridge, VA, 22191-3304
Phone Number
703-494-2545
Fax Number
703-497-1272
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1972 Opitz Blvd
City
Woodbridge
State
Virginia
Zip
22191-3304
Phone Number
703-494-2545
Fax Number
703-497-1272
person
Provider Business Mailing Address Details
Address
1972 Opitz Blvd
City
Woodbridge
State
Virginia
Zip
22191-3304
Phone Number
703-494-2545
Fax Number
703-497-1272
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
05126 (Virginia)
Definition
Definition to come...
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