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A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X |
| NPI # | 1346867926 |
| LBN Legal business name | 920 NORTH MAIN STREET PROFESSIONAL, PLLC |
| Authorized official | PETER GRUMBOS - (OWNER DENTIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/30/2020 |
| Last updated | 06/30/2020 - About 6 years ago |
| Identifiers | n/a |
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920 NORTH MAIN STREET PROFESSIONAL, PLLC
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920 NORTH MAIN STREET PROFESSIONAL, PLLC