Organization
EDWARD H. GRUBER D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA C. DIAZ (OFFICE MANAGER)
(661) 827-9183
Entity
Organization
Contact information
Practice address
826 JEFFERSON ST, DELANO, CA 93215-2235
(661) 725-1797
(661) 725-1864
Mailing address
826 JEFFERSON ST, DELANO, CA 93215-2235
(661) 725-1797
(661) 725-1864
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
33020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9139302
—
CA
Enumeration date
07/27/2007
Last updated
07/27/2007
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