Individual
KELLI ELLEN GRUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9775 HWY 64 , SUITE 101, ARLINGTON, TN 38002
(901) 235-0709
(870) 338-3950
Mailing address
118 HICKORY HILLS DR, HELENA, AR 72342-2302
(870) 338-3961
(870) 338-3950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11199
TN
1223G0001X
General Practice Dentistry
Primary
3773
AR
Other
Enumeration date
06/14/2010
Last updated
02/11/2021
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