Mark Edward Grubb, D.D.S.

NPI #1518003094 in Bangor, Maine

Provider Information

NPI Number: 1518003094
Entity Type: Individual
Name: Mark Edward Grubb, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Pathology
Credential: D.D.S.
Enumeration Date: Jan 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 37 BOWER ST
City: Bangor
State: Maine
ZIP Code: 04401-4721
Phone: (207) 945-5691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology	1223P0106X	Primary

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