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Individual

DR. DAVID S. GROY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
18 WIRT ST SW, LEESBURG, VA 20175-2915
(703) 777-5600
Mailing address
18 WIRT ST SW, LEESBURG, VA 20175-2915
(703) 777-5600

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005597
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7816421
VA
Enumeration date
07/24/2006
Last updated
07/08/2007
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