| Richard Grundy Dds And Associates, Pc | |
|
5204a Rolling Rd Burke VA 22015-4694 | |
| (703) 663-9977 | |
| Not Available |
| Full Name | Richard Grundy Dds And Associates, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5204a Rolling Rd, Burke, Virginia |
| Authorized Official Name and Position | Richard Grundy (OWNER/DENTIST) |
| Authorized Official Contact | 7037555936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Grundy Dds And Associates, Pc Po Box 518 Centreville VA 20122-0518 Ph: (703) 755-5936 | Richard Grundy Dds And Associates, Pc 5204a Rolling Rd Burke VA 22015-4694 Ph: (703) 663-9977 |
| NPI Number | 1356805667 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 01/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356805667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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