| Richard D. Gruntz, Dds, P.c. | |
|
1600 Crystal Square Arc Ste L Arlington VA 22202-3323 | |
| (703) 412-1122 | |
| Not Available |
| Full Name | Richard D. Gruntz, Dds, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1600 Crystal Square Arc Ste L, Arlington, Virginia |
| Authorized Official Name and Position | Richard David Gruntz (OWNER) |
| Authorized Official Contact | 7034121122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard D. Gruntz, Dds, P.c. 1600 Crystal Square Arc Ste L Arlington VA 22202-3323 Ph: (703) 412-1122 | Richard D. Gruntz, Dds, P.c. 1600 Crystal Square Arc Ste L Arlington VA 22202-3323 Ph: (703) 412-1122 |
| NPI Number | 1578807541 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578807541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401006070 (Virginia) | Primary |
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