MEDICARE: FRINET KASPER DDS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	0401411799	VA

General Provider Information

NPI Number	:	1699119131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRINET KASPER DDS PC

Provider Business Mailing Address
First Line	:	1203 PRINCE ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2916
Country	:	US
Telephone Number	:	703-683-0800
Fax Number	:	703-683-6880

Provider Business Practice Location Address
First Line	:	1203 PRINCE ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2916
Country	:	US
Telephone Number	:	703-683-0800
Fax Number	:	703-683-6880

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. FRINET MARGARITA KASPER
Credential	:	DDS
Telephone Number	:	703-683-0800

Provider Enumeration Date	:	04/27/2013
Last Update Date	:	10/03/2013

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