Sebastian M Bouroncle Dds-3 Alexandria Pllc
NPI #1114574654 in Alexandria, Virginia
Provider Information
- NPI Number
- 1114574654
- Entity Type
- Organization
- Organization Name
- Sebastian M Bouroncle Dds-3 Alexandria Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 20, 2019
- Last Updated
- Aug 20, 2019
Practice Location
- Address
- 5252 DAWES AVE
- City
- Alexandria
- State
- Virginia
- ZIP Code
- 22311-1404
- Phone
- (703) 933-8500
Authorized Official
- Name
- MRS. WENDY TAVARA
- Title
- REGIONAL MANAGER
- Phone
- (703) 933-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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