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General NPI Number Information
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NPI Number | 1568595312
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Entity Type | Organization
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Legal Business Name | GEORGE J GROBINS DDS PS
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 7810 WEST 27TH ST
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-4111
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Country | US
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Telephone | 253-564-2722
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Fax | 253-564-0321
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Provider Business Mailing Address
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Address Line | 7810 WEST 27TH ST
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-4111
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Country | US
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Telephone | 253-564-2722
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Fax | 253-564-0321
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. GEORGE JURIS GROBINS
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Credential | DDS
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Telephone | 253-564-2722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 003810
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License Number State | WA
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