Individual
DR. TIMOTHY ALAN GRUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
976 E FREEWAY DR SE, CONYERS, GA 30094-5965
(770) 483-1331
(770) 979-2226
Mailing address
976 E FREEWAY DR SE, CONYERS, GA 30094-5965
(770) 483-1331
(770) 979-2226
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN008863
GA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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