Organization · Type 2 NPI
Fred A Bubernak DDS Ltd
Dental Clinic/Center · Woodbridge, VA
NPI number
1912110800
Active
Practice location
1972 Opitz Blvd
Woodbridge, VA 22191-3304
Fax (703) 497-1272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 05126 (VA) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1912110800
Fred A Bubernak DDS Ltd's National Provider Identifier is 1912110800, issued on May 7, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Woodbridge, VA. The record was last updated on Aug 22, 2020.