Organization
DRG DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER GUIRGUIS DDS (DENTIST)
(816) 343-8295
Entity
Organization
Contact information
Practice address
2426 S CARRIER PKWY, GRAND PRAIRIE, TX 75051-3805
(972) 641-8415
Mailing address
2426 S CARRIER PKWY, GRAND PRAIRIE, TX 75051-3805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29369
TX
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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