| Groton Wellness Family Dentistry,llc | |
|
495 Main St Groton MA 01450-4253 | |
| (978) 449-9919 | |
| (978) 449-9929 |
| Full Name | Groton Wellness Family Dentistry,llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 495 Main St, Groton, Massachusetts |
| Authorized Official Name and Position | G.robert Evans (OWNER) |
| Authorized Official Contact | 9784499919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Groton Wellness Family Dentistry,llc 495 Main St Groton MA 01450-4253 Ph: (978) 449-9919 | Groton Wellness Family Dentistry,llc 495 Main St Groton MA 01450-4253 Ph: (978) 449-9919 |
| NPI Number | 1306276969 |
|---|---|
| Provider Enumeration Date | 11/19/2013 |
| Last Update Date | 11/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306276969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 13901 (Massachusetts) | Primary |
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