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Individual

DEXTER GRUVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.D.

Contact information

Practice address
5800 SOUNDVIEW DR STE A102, GIG HARBOR, WA 98335-2057
(208) 403-9694
Mailing address
5800 SOUNDVIEW DR STE A102, GIG HARBOR, WA 98335-2057
(208) 403-9694

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN 60404431
WA

Other

Enumeration date
11/26/2013
Last updated
11/26/2013
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