730 New Albany Professional Pllc
NPI #1710691241 in New Albany, Mississippi
Provider Information
- NPI Number
- 1710691241
- Entity Type
- Organization
- Organization Name
- 730 New Albany Professional Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 10, 2023
- Last Updated
- Jan 10, 2023
Practice Location
- Address
- 731 COULTER DR
- City
- New Albany
- State
- Mississippi
- ZIP Code
- 38652
- Phone
- (662) 534-4397
Authorized Official
- Name
- PETER GRUMBOS, DDS
- Title
- OWNER
- Phone
- (662) 534-4397
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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