Organization · Type 2 NPI

Sebastian M Bouroncle Dds4 Fredericksburg PLLC

Dental Clinic/Center · Fredericksburg, VA

NPI number 1811770472 Active

Practice location

11111 Leavells Rd
Fredericksburg, VA 22407-5015

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

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NPI record

NPI: 1811770472
Entity type: Organization (Type 2)
Issued: Aug 17, 2023
Last updated: Aug 17, 2023
Status: Active
Subpart: Yes of Sebastian M Bouroncle Dds4 Fredericksburg PLLC

Other names

New Smiles Dental Fredericksburg · doing business as

Authorized official

Dr. Sebastian M Bouroncle, DDS
Dentist Owner
(540) 898-1747

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About NPI 1811770472

Sebastian M Bouroncle Dds4 Fredericksburg PLLC's National Provider Identifier is 1811770472, issued on Aug 17, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fredericksburg, VA. The record was last updated on Aug 17, 2023.