| NPI | 1912526203 |
|---|---|
| Doing Business As | KILLEEN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PETER GRUMBOS Owner 214-259-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |