DR. Bryan L Grimmer, D.D.S.

NPI #1003095266 in Herndon, Virginia

Provider Information

NPI Number: 1003095266
Entity Type: Individual
Name: DR. Bryan L Grimmer, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Oct 24, 2007
Last Updated: Oct 24, 2007

Practice Location

Address: 102 ELDEN ST
Address 2: SUITE 17
City: Herndon
State: Virginia
ZIP Code: 20170-4868
Phone: (703) 478-0315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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