# 421 N 38TH KILLEEN PROFESSIONAL, PLLC

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

## Provider details

- **NPI number:** 1912526203
- **Authorized official:** PETER GRUMBOS DMD (OWNER)
- **Authorized official phone:** (214) 259-7000

## Contact information

- **Practice address:** 421 N 38TH ST, KILLEEN, TX 76543-4153
- **Practice address phone:** (254) 634-0234
- **Mailing address:** 421 N 38TH ST, KILLEEN, TX 76543-4153
- **Mailing address phone:** (254) 634-0234

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2020
- **Last updated:** 04/16/2020