Organization
110 REGENT COURT COLLEGE PROFESSIONAL PLLC
Active
Other names
Barry L. Holden, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER GRUMBOS DDS (OWNER/DENTIST)
(505) 722-4422
Entity
Organization
Contact information
Practice address
110 REGENT CT STE 100, STATE COLLEGE, PA 16801-7966
(814) 231-0110
(814) 231-0118
Mailing address
110 REGENT CT STE 100, STATE COLLEGE, PA 16801-7966
(814) 231-0110
(814) 231-0118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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