DR. Bruce S Wyman, DMD

NPI #1063424638 in Springfield, Virginia

Provider Information

NPI Number
1063424638
Entity Type
Individual
Name
DR. Bruce S Wyman, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Periodontics
Credential
DMD
Enumeration Date
Aug 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
6116 ROLLING ROAD
Address 2
SUITE 312
ZIP Code
22152-1512
Phone
(703) 569-4040

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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