Individual
DR. STEPHEN LEE GRUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
930 BELHAVEN ST, JACKSON, MS 39202-1709
(601) 278-9916
Mailing address
930 BELHAVEN ST, JACKSON, MS 39202-1709
(601) 278-9916
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3499-09
MS
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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