Organization
DENTAL DEPOT
Active
Parent organization
EDWARD H. GRUBER DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARD H. GRUBER DDS
Authorized official
MRS. MYRNA VELASQUEZ (OFFICE MANAGER)
(661) 871-3736
Entity
Organization
Contact information
Practice address
4022 NILES ST, BAKERSFIELD, CA 93306-4630
(661) 871-3736
(661) 871-7417
Mailing address
4022 NILES ST, BAKERSFIELD, CA 93306-4630
(661) 871-3736
(661) 871-7417
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
33020
CA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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