GRANT R HARTUP

BOLLING AFB, DC
NPI1447251574
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  D9740)
Enumeration Date2005-08-10
Last Update Date2007-07-08
Business Address
Dr. GRANT R HARTUP DDS
HQ USAF/SGCD 110 LUKE AVE, ROOM 400
BOLLING AFB, DC 20032
Phone number: 202-767-4385
Mailing Address
Dr. GRANT R HARTUP DDS
8092 PAPER BIRCH DR
LORTON, VA 22079-5654
Phone number: 703-495-9150