Individual
DR. JESSICA GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7155 N PORT WASHINGTON RD, GLENDALE, WI 53217-3841
(414) 928-2518
Mailing address
7155 N PORT WASHINGTON RD, GLENDALE, WI 53217-3841
(414) 928-2518
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002312
WI
Other
Enumeration date
06/12/2020
Last updated
11/10/2022
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