Mark A Grimes, D.D.S.

NPI #1699114496 in Chantilly, Virginia

Provider Information

NPI Number: 1699114496
Entity Type: Individual
Name: Mark A Grimes, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 14, 2013
Last Updated: Jun 14, 2013

Practice Location

Address: 4437 BROOKFIELD CORPORATE DR
Address 2: #107
City: Chantilly
State: Virginia
ZIP Code: 20151-2122
Phone: (703) 222-5400

Specialties & Taxonomy Codes

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

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