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1661 W 2nd Corsicana Professional, PLLC — NPI 1225673098, Corsicana, TX | NPI Central

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NPI 1225673098

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1661 W 2nd Corsicana Professional, PLLC

NPI 1225673098 · Dentist · Corsicana, TX

Provider details

NPI number: 1225673098
Entity type: Organization
Primary specialty: DentistDental 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: 2019-11-15
Last updated: 2020-04-20

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