Organization
BRUCE S. WYMAN DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE S WYMAN DMD (PRESIDENT)
(703) 569-4040
Entity
Organization
Contact information
Practice address
6116 ROLLING RD, SUITE 312, SPRINGFIELD, VA 22152-1521
(703) 569-4040
(703) 569-7334
Mailing address
6116 ROLLING RD, SUITE 312, SPRINGFIELD, VA 22152-1521
(703) 569-4040
(703) 569-7334
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401004973
VA
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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