Organization
627 MAIN TUPELO PROFESSIONAL PLLC
Active
Other names
Main Street Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GRUMBOS DDS (OWNER)
(662) 840-0066
Entity
Organization
Contact information
Practice address
627 W MAIN ST, TUPELO, MS 38804-3732
(662) 840-0066
(662) 840-7966
Mailing address
627 W MAIN ST, TUPELO, MS 38804-3732
(662) 840-0066
(662) 840-7966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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