Individual
DR. BRIAN HERMAN GRUNERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5501 FORTUNES RIDGE DRIVE, SUITE Q, DURHAM, NC 27713
(919) 489-1445
(919) 489-1445
Mailing address
4607 WHITFIELD ROAD, DURHAM, NC 27707
(919) 489-9077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5872
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7993433
—
NC
01
—
93433
BCBS
NC
Enumeration date
05/04/2007
Last updated
07/08/2007
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