Great Pond Dental PC
NPI #1194088096 in Wakefield, Massachusetts
Provider Information
- NPI Number
- 1194088096
- Entity Type
- Organization
- Organization Name
- Great Pond Dental PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 17, 2012
- Last Updated
- Aug 27, 2012
Practice Location
- Address
- 202 LOWELL ST
- City
- Wakefield
- State
- Massachusetts
- ZIP Code
- 01880-1017
- Phone
- (781) 245-1731
Authorized Official
- Name
- DR. INNA O KOMAROVSKAYA, DMD
- Title
- GENERAL DENTIST/OWNER
- Phone
- (781) 245-1731
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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