Organization
EDWARD H. GRUBER D.D.S.
Active
Parent organization
EDWARD H. GRUBER D.D.S
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARD H. GRUBER D.D.S
Authorized official
MS. MARTHA C. DIAZ (OFFICE MANAGER)
(661) 827-9183
Entity
Organization
Contact information
Practice address
1491 WHITE LN, BAKERSFIELD, CA 93307-4677
(661) 827-9183
(661) 827-9185
Mailing address
1491 WHITE LN, BAKERSFIELD, CA 93307-4677
(661) 827-9183
(661) 827-9185
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
33020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9139301
—
CA
Enumeration date
07/23/2007
Last updated
07/23/2007
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