Nedg Wilmington

NPI #1023586062 in Wilmington, Massachusetts

Provider Information

NPI Number: 1023586062
Entity Type: Organization
Organization Name: Nedg Wilmington
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 7, 2018
Last Updated: Jun 29, 2022

Practice Location

Address: 206 BALLARDVALE ST
City: Wilmington
State: Massachusetts
ZIP Code: 01887-1044
Phone: (508) 962-2332

Authorized Official

Name: MR. GOKULAN THIAGARAJAH
Title: DIRECTOR/OWNER
Phone: (508) 962-2332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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