920 North Main Street Professional, Pllc | |
920 N Main St Taylor TX 76574-3230 | |
(512) 352-5577 | |
(512) 352-7416 |
Full Name | 920 North Main Street Professional, Pllc |
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Speciality | Dentist - General Practice |
Location | 920 N Main St, Taylor, Texas |
Authorized Official Name and Position | Peter Grumbos (OWNER DENTIST) |
Authorized Official Contact | 5123525577 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
920 North Main Street Professional, Pllc 920 N Main St Taylor TX 76574-3230 Ph: (512) 352-5577 | 920 North Main Street Professional, Pllc 920 N Main St Taylor TX 76574-3230 Ph: (512) 352-5577 |
NPI Number | 1346867926 |
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Provider Enumeration Date | 06/30/2020 |
Last Update Date | 06/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346867926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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