Individual
ANNA CAROLINE GRUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
306 CENTER DR, SUPERIOR, CO 80027-8625
(130) 349-9955
Mailing address
1717 SPRUCE ST APT 3, BOULDER, CO 80302-4333
(318) 267-6307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00205238
CO
1223G0001X
General Practice Dentistry
36320
TX
Other
Enumeration date
07/29/2020
Last updated
07/01/2022
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