Organization
KEVIN C. GRANGER, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN GRANGER (OWNER)
(703) 790-5533
Entity
Organization
Contact information
Practice address
8363B GREENSBORO DR, MC LEAN, VA 22102-3530
(703) 790-5533
(703) 556-9760
Mailing address
8363B GREENSBORO DR, MC LEAN, VA 22102-3530
(703) 790-5533
(703) 556-9760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411967
VA
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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