| Joshua Gruber, Dds, Llc | |
|
204 West Main Street Rouge River OR 97537 | |
| (541) 779-5111 | |
| Not Available |
| Full Name | Joshua Gruber, Dds, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 204 West Main Street, Rouge River, Oregon |
| Authorized Official Name and Position | Joshua Nelson Gruber (OWNER) |
| Authorized Official Contact | 5417795111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Gruber, Dds, Llc 204 West Main Street Rouge River OR 97537 Ph: (541) 779-5111 | Joshua Gruber, Dds, Llc 204 West Main Street Rouge River OR 97537 Ph: (541) 779-5111 |
| NPI Number | 1609645548 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 12/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609645548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |