Organization
HUB DENTAL CLINIC, PC
Active
Other names
Skywalk Hub Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ERWIN GRASK DDS (PRESIDENT)
(515) 243-6311
Entity
Organization
Contact information
Practice address
655 WALNUT ST, SUITE 134B, DES MOINES, IA 50309-3906
(515) 243-6311
(515) 244-1572
Mailing address
655 WALNUT ST, SUITE 134B, DES MOINES, IA 50309-3906
(515) 243-6311
(515) 244-1572
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6917
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001771
BLUE DENTAL & BC BS
IA
05
—
0207498
—
IA
01
—
1639355
UNITED CONCORDIA
IA
01
—
24933
BC BS FEP
IA
Enumeration date
09/06/2006
Last updated
08/22/2020
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