Peter Bartholomew Grinc, DDS
Dentist, General Practice in Washington, DC. Individual provider (NPI-1).
NPI number1770085599
StatusActive
Last updated in NPPESFeb 11, 2020
Details
- NPI
- 1770085599
- Entity type
- Individual (NPI-1)
- Name
- Peter Bartholomew Grinc
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2018
- Certification date
- Feb 11, 2020
- Last updated
- Feb 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DEN1001991 | DC | Yes |
Practice location
1120 19th St Nw Ste 400Washington, DC 20036-3661
Phone 202-833-1111
Mailing address
1120 19th St Nw Ste 400Washington, DC 20036-3661
Phone 202-833-1111
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