| Kevin C. Granger, D.d.s., P.c. | |
|
8363b Greensboro Dr Mc Lean VA 22102-3530 | |
| (703) 790-5533 | |
| (703) 556-9760 |
| Full Name | Kevin C. Granger, D.d.s., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 8363b Greensboro Dr, Mc Lean, Virginia |
| Authorized Official Name and Position | Kevin Granger (OWNER) |
| Authorized Official Contact | 7037905533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin C. Granger, D.d.s., P.c. 8363b Greensboro Dr Mc Lean VA 22102-3530 Ph: (703) 790-5533 | Kevin C. Granger, D.d.s., P.c. 8363b Greensboro Dr Mc Lean VA 22102-3530 Ph: (703) 790-5533 |
| NPI Number | 1649418377 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 02/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649418377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401411967 (Virginia) | Primary |
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