1661 W 2nd Corsicana Services, LLC

NPI #1083234744 in Corsicana, Texas

Provider Information

NPI Number: 1083234744
Entity Type: Organization
Organization Name: 1661 W 2nd Corsicana Services, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 23, 2020
Last Updated: Apr 23, 2020

Practice Location

Address: 1661 W 2ND AVE
City: Corsicana
State: Texas
ZIP Code: 75110-4107
Phone: (903) 872-1661

Authorized Official

Name: PETER GRUMBOS, DDS
Title: OWNER
Phone: (903) 872-1661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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DR. Khalid Sadeddin, D.D.S	Dentist - General Practice	Corsicana	AI Deep Dive
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Asa Nathaniel Gallup, D.D.S.	Dentist - General Practice	Corsicana	AI Deep Dive
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