Individual
DR. GREGORY THOMAS GRUBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4200 LAKE OTIS, #301, ANCHORAGE, AK 99508
(907) 562-1958
(907) 561-1696
Mailing address
4200 LAKE OTIS PKWY, #301, ANCHORAGE, AK 99508
(907) 562-1958
(907) 561-1696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AA 731
AK
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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