Individual
DR. EDWARD H. GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4022 NILES ST # B, BAKERSFIELD, CA 93306-4630
(661) 871-3736
(661) 871-7417
Mailing address
4022 NILES ST # B, BAKERSFIELD, CA 93306-4630
(661) 871-3736
(661) 871-7417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B3302001
HEALTHY FAMILIES PROVIDER
CA
05
—
B3302002
—
CA
Enumeration date
12/12/2006
Last updated
07/09/2007
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