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Individual

DR. RICHARD DAVID GRUNTZ III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1600 CRYSTAL SQUARE ARC STE L, ARLINGTON, VA 22202-3323
(703) 412-1122
Mailing address
1600 CRYSTAL SQUARE ARC STE L, ARLINGTON, VA 22202-3323
(571) 233-5023

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413244
VA

Other

Enumeration date
11/08/2012
Last updated
11/08/2012
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