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1598475949
PETER GRUMBOS DDS RANDOLPH PLLC
CHARLOTTE, NC
NPI
1598475949
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Entity Type
Organization
Authorized Contact
AMY BROOKS
Credentialing Manager
252-292-1349
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2022-11-28
Last Update Date
2022-11-28
Business Address
PETER GRUMBOS DDS RANDOLPH PLLC
2711 RANDOLPH RD STE 205
CHARLOTTE, NC 28207-2027
Phone number: 704-377-2503
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Mailing Address
PETER GRUMBOS DDS RANDOLPH PLLC
12200 W FINCH AVE
MIDDLESEX, NC 27557-7427
Phone number: 252-292-1349
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