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NPI 1083234744

OrganizationActive

1661 W 2nd Corsicana Services, LLC

NPI 1083234744 · General Practice Dentistry · Corsicana, TX

Provider details

NPI number: 1083234744
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Authorized official: Peter Grumbos, Owner

Practice location

1661 W 2nd Ave

Corsicana, TX 75110-4107

Phone: (903) 872-1661

More TX providers

Mailing address

1661 W 2nd Ave

Corsicana, TX 75110-4107

Registry dates

Enumerated: 2020-04-23
Last updated: 2020-04-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

1661 W 2nd Corsicana Services, LLC — NPI 1083234744, Corsicana, TX | NPI Central