Individual
DR. BRUCE S WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6116 ROLLING ROAD, SUITE 312, SPRINGFIELD, VA 22152-1512
(703) 569-4040
(703) 569-7334
Mailing address
6116 ROLLING ROAD, SUITE 312, SPRINGFIELD, VA 22152-1512
(703) 569-4040
(703) 569-7334
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401004973
VA
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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