Roland N Grubb, DDS

NPI #1033363403 in Willow Creek, California

Provider Information

NPI Number: 1033363403
Entity Type: Individual
Name: Roland N Grubb, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 11, 2008
Last Updated: Nov 11, 2008

Practice Location

Address: 40618 HWY 299
City: Willow Creek
State: California
ZIP Code: 95573
Phone: (530) 629-2155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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