| Edward H. Gruber D.d.s. | |
|
826 Jefferson St Delano CA 93215-2235 | |
| (661) 725-1797 | |
| (661) 725-1864 |
| Full Name | Edward H. Gruber D.d.s. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 826 Jefferson St, Delano, 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. 826 Jefferson St Delano CA 93215-2235 Ph: (661) 725-1797 | Edward H. Gruber D.d.s. 826 Jefferson St Delano CA 93215-2235 Ph: (661) 725-1797 |
| NPI Number | 1316137102 |
|---|---|
| Provider Enumeration Date | 07/27/2007 |
| Last Update Date | 07/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316137102 | NPI | - | NPPES |
| G9139302 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 33020 (California) | Primary |
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