# KEVIN C. GRANGER, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649418377
- **Authorized official:** DR. KEVIN GRANGER (OWNER)
- **Authorized official phone:** (703) 790-5533

## Contact information

- **Practice address:** 8363B GREENSBORO DR, MC LEAN, VA 22102-3530
- **Practice address phone:** (703) 790-5533
- **Practice address fax:** (703) 556-9760
- **Mailing address:** 8363B GREENSBORO DR, MC LEAN, VA 22102-3530
- **Mailing address phone:** (703) 790-5533
- **Mailing address fax:** (703) 556-9760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401411967 | VA | Yes |

## Other

- **Enumeration date:** 02/03/2009
- **Last updated:** 02/03/2009