Organization
HUTCHISON & GORMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE R HUTCHISON DDS (OWNER)
(703) 830-9110
Entity
Organization
Contact information
Practice address
14245P CENTREVILLE SQ, CENTREVILLE, VA 20121-2368
(703) 830-9110
(703) 830-1632
Mailing address
14245 P CENTREVILLE SQ, CENTREVILLE, VA 20121
(703) 830-9110
(703) 830-1632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401005754
VA
1223G0001X
General Practice Dentistry
0401008861
VA
1223G0001X
General Practice Dentistry
Primary
0401410893
VA
Other
Enumeration date
11/21/2006
Last updated
11/10/2011
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