Heidi Jo Grubbs, LAP RDH

NPI #1609176262 in Sherwood, Oregon

Provider Information

NPI Number: 1609176262
Entity Type: Individual
Name: Heidi Jo Grubbs, LAP RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: LAP RDH
Enumeration Date: Oct 29, 2010
Last Updated: Oct 29, 2010

Practice Location

Address: 19230 SW CONZELMANN RD
City: Sherwood
State: Oregon
ZIP Code: 97140-8707
Phone: (503) 997-3489

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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