# GEORGE J GROBINS DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health Centered Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568595312
- **Authorized official:** DR. GEORGE JURIS GROBINS DDS (PRESIDENT OWNER)
- **Authorized official phone:** (253) 564-2722

## Contact information

- **Practice address:** 7810 WEST 27TH ST, UNIVERSITY PLACE, WA 98466-4111
- **Practice address phone:** (253) 564-2722
- **Practice address fax:** (253) 564-0321
- **Mailing address:** 7810 WEST 27TH ST, UNIVERSITY PLACE, WA 98466-4111
- **Mailing address phone:** (253) 564-2722
- **Mailing address fax:** (253) 564-0321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 003810 | WA | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0085205 | DEPT OF LABORER&INDUST | WA |
| 01 | — | 587870 | UNITED CONCORDIA INS CO | PA |
| 01 | — | 600363819 | DEPT OF REVENUE | — |
| 01 | — | L0791 | CITY BUSINESS LICENSE | — |