NPI 1003095266

Bryan L Grimmer, DDS

Practitioner General Practice Dentistry Herndon, VA

Practice location

Address: 102 Elden St Suite 17, Herndon, VA 20170-4868
Phone: (703) 478-0315
Fax: (703) 478-7451

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 0401005512 (VA)

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Registry record

NPI: 1003095266
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2007
Record last updated: 24 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.