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Organization
NORTH TEXAS FAMILY AND COSMETIC DENTISTRY
Active
Organization
NORTH TEXAS FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER C GRUMBOS DDS (OWNER)
(972) 360-9944
Entity
Organization
Contact information
Practice address
3260 SOUTHERN DR, GARLAND, TX 75043-1548
(972) 360-9944
Mailing address
3260 SOUTHERN DR, GARLAND, TX 75043-1548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18458
LICENSE
TX
Enumeration date
01/28/2019
Last updated
01/28/2019
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