Individual
DR. MATTHEW JOHN GRAMKEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11503 SUNRISE VALLEY DR, RESTON, VA 20191-1505
(703) 860-3200
Mailing address
8901 WISCONSIN AVE, DEPARTMENT OF PERIODONTICS, BETHESDA, MD 20817
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
042692-1
NY
Other
Enumeration date
07/13/2006
Last updated
11/03/2015
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