Organization
GEORGE J GROBINS DDS PS
Active
Other names
Health Centered Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE JURIS GROBINS DDS (PRESIDENT OWNER)
(253) 564-2722
Entity
Organization
Contact information
Practice address
7810 WEST 27TH ST, UNIVERSITY PLACE, WA 98466-4111
(253) 564-2722
(253) 564-0321
Mailing address
7810 WEST 27TH ST, UNIVERSITY PLACE, WA 98466-4111
(253) 564-2722
(253) 564-0321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
003810
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085205
DEPT OF LABORER&INDUST
WA
01
—
587870
UNITED CONCORDIA INS CO
PA
01
—
600363819
DEPT OF REVENUE
—
01
—
L0791
CITY BUSINESS LICENSE
—
Enumeration date
03/13/2007
Last updated
03/07/2023
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