Medford Tlc Dental Group, LLC
NPI #1457863953 in Medford, Massachusetts
Provider Information
- NPI Number
- 1457863953
- Entity Type
- Organization
- Organization Name
- Medford Tlc Dental Group, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 25, 2017
- Last Updated
- Oct 26, 2017
Practice Location
- Address
- 84 HIGH ST STE 5
- City
- Medford
- State
- Massachusetts
- ZIP Code
- 02155-3844
- Phone
- (781) 393-0008
Authorized Official
- Name
- MRS. ANNA GANOPOLSKY, DMD
- Title
- OWNER
- Phone
- (781) 393-0008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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