Great Woods Family Dentistry

NPI #1841670262 in Mansfield, Massachusetts

Provider Information

NPI Number
1841670262
Entity Type
Organization
Organization Name
Great Woods Family Dentistry
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 1, 2015
Last Updated
Jun 1, 2015

Practice Location

Address
792 S MAIN ST
Address 2
SUITE 24
ZIP Code
02048-3137
Phone
(508) 339-4171

Authorized Official

Name
DR. WAHID MISTIKAWI, D.M.D.
Title
OWNER/DOCTOR
Phone
(508) 339-4171

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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