| Edward H. Gruber D.d.s. | |
|
1491 White Ln Bakersfield CA 93307-4677 | |
| (661) 827-9183 | |
| (661) 827-9185 |
| Full Name | Edward H. Gruber D.d.s. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1491 White Ln, Bakersfield, California |
| Authorized Official Name and Position | Martha C. Diaz (OFFICE MANAGER) |
| Authorized Official Contact | 6618279183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward H. Gruber D.d.s. 1491 White Ln Bakersfield CA 93307-4677 Ph: (661) 827-9183 | Edward H. Gruber D.d.s. 1491 White Ln Bakersfield CA 93307-4677 Ph: (661) 827-9183 |
| NPI Number | 1831399351 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831399351 | NPI | - | NPPES |
| G9139301 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 33020 (California) | Primary |
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