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Organization
920 NORTH MAIN STREET PROFESSIONAL, PLLC
Active
Organization
920 NORTH MAIN STREET PROFESSIONAL, PLLC
Active
Other names
Taylor Dental Associates & EZ Braces
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GRUMBOS DMD (OWNER DENTIST)
(512) 352-5577
Entity
Organization
Contact information
Practice address
920 N MAIN ST, TAYLOR, TX 76574-3230
(512) 352-5577
(512) 352-7416
Mailing address
920 N MAIN ST, TAYLOR, TX 76574-3230
(512) 352-5577
(512) 352-7416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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