Individual
DR. JOSEPH P GRIECO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3541 CHAIN BRIDGE RD STE 1, FAIRFAX, VA 22030-2793
(703) 385-9700
(703) 385-9703
Mailing address
3541 CHAIN BRIDGE RD STE 1, FAIRFAX, VA 22030-2793
(703) 385-9700
(703) 385-9703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6071
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016309
ANTHEM PROVIDER NUMBER
VA
01
—
0620746
UNITED CONCORDIA PROVIDER
VA
Enumeration date
02/20/2007
Last updated
07/08/2007
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