# 9590 MARBACH SAN ANTONIO SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215493697
- **Authorized official:** DR. PETER C GRUMBOS DDS (OWNER)
- **Authorized official phone:** (972) 360-9944

## Contact information

- **Practice address:** 9590 MARBACH RD, SAN ANTONIO, TX 78245-1825
- **Practice address phone:** (210) 673-9051
- **Mailing address:** 9590 MARBACH RD, SAN ANTONIO, TX 78245-1825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2019
- **Last updated:** 02/11/2019