| Bruce S. Wyman DMD, PC | |
|
6116 Rolling Rd Suite 312 Springfield VA 22152-1521 | |
| (703) 569-4040 | |
| (703) 569-7334 |
| Full Name | Bruce S. Wyman DMD, PC |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6116 Rolling Rd, Springfield, Virginia |
| Authorized Official Name and Position | Bruce S Wyman (PRESIDENT) |
| Authorized Official Contact | 7035694040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce S. Wyman DMD, PC 6116 Rolling Rd Suite 312 Springfield VA 22152-1521 Ph: (703) 569-4040 | Bruce S. Wyman DMD, PC 6116 Rolling Rd Suite 312 Springfield VA 22152-1521 Ph: (703) 569-4040 |
| NPI Number | 1528272499 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528272499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 0401004973 (Virginia) | Primary |
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