Wyman, Bruce S
Wyman, Bruce S is an individual health care provider with primary practice located at 6116 Rolling Road Suite 312, Springfield VA 22152-1512. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Wyman, Bruce S can be contacted via phone (703) 569-4040.Contact Information
Primary practice address
6116 Rolling Road Suite 312
Springfield VA 22152-1512
Phone: (703) 569-4040
Fax: (703) 569-7334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 0401004973 | Virginia |
Profile Details
| NPI number | 1063424638 |
|---|---|
| LBN Legal business name | Wyman, Bruce S |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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