Organization
RICHARD V GRUBB, D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD V. GRUBB (OWNER)
(410) 939-5800
Entity
Organization
Contact information
Practice address
203 S WASHINGTON ST, HAVRE DE GRACE, MD 21078-3244
(410) 939-5800
Mailing address
203 S WASHINGTON ST, HAVRE DE GRACE, MD 21078-3244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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