Groton Dental Wellness Center

NPI #1629231709 in Groton, Massachusetts

Provider Information

NPI Number: 1629231709
Entity Type: Organization
Organization Name: Groton Dental Wellness Center
Primary Specialty: Dentist
Enumeration Date: Jul 8, 2008
Last Updated: Jul 8, 2008

Practice Location

Address: 495 MAIN STREET
City: Groton
State: Massachusetts
ZIP Code: 01450
Phone: (978) 449-9919

Authorized Official

Name: JEAN M NORDIN-EVANS, DDS
Title: OWNER
Phone: (978) 449-9919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dental Assistant	126800000X
Dentist	122300000X	Primary

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