# DRG DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780061192
- **Authorized official:** DR. PETER GUIRGUIS DDS (DENTIST)
- **Authorized official phone:** (816) 343-8295

## Contact information

- **Practice address:** 2426 S CARRIER PKWY, GRAND PRAIRIE, TX 75051-3805
- **Practice address phone:** (972) 641-8415
- **Mailing address:** 2426 S CARRIER PKWY, GRAND PRAIRIE, TX 75051-3805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 29369 | TX | Yes |

## Other

- **Enumeration date:** 05/05/2015
- **Last updated:** 05/05/2015