Individual
MR. ALBERT FITZ GRUBER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
UNIVERSITY OF TENNESSEE COLLEGE OF DENTISTRY, 875 UNION AVE, MEMPHIS, IL 38163
(901) 448-6271
(708) 339-5567
Mailing address
1697 LISSON LANE, COLLIERVILLE, TN 38017
(708) 212-7995
(708) 339-5567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019-019995
IL
1223G0001X
General Practice Dentistry
Primary
11979
TN
1223G0001X
General Practice Dentistry
12009737A
IN
1223G0001X
General Practice Dentistry
6830
LA
Other
Enumeration date
11/08/2006
Last updated
10/24/2024
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