Bruce S. Wyman Dmd, PC

NPI #1528272499 in Springfield, Virginia

Provider Information

NPI Number: 1528272499
Entity Type: Organization
Organization Name: Bruce S. Wyman Dmd, PC
Primary Specialty: Dentist - Periodontics
Enumeration Date: May 10, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 6116 ROLLING RD
Address 2: SUITE 312
City: Springfield
State: Virginia
ZIP Code: 22152-1521
Phone: (703) 569-4040

Authorized Official

Name: DR. BRUCE S WYMAN, DMD
Title: PRESIDENT
Phone: (703) 569-4040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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