Individual
ALYSSA GRUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
202 BRISTLECONE DR, FORT COLLINS, CO 80524-2031
(970) 416-5331
Mailing address
202 BRISTLECONE DR, FORT COLLINS, CO 80524-2031
(970) 416-5331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DDS-09795
IA
1223G0001X
General Practice Dentistry
Primary
DEN.00205564
CO
Other
Enumeration date
06/30/2020
Last updated
12/06/2023
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