| Hanover Pediatric Dentistry, Pllc | |
|
648 Washington St Hanover MA 02339-2386 | |
| (781) 312-0444 | |
| Not Available |
| Full Name | Hanover Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 648 Washington St, Hanover, Massachusetts |
| Authorized Official Name and Position | Tara Lindholm Groff (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 7813120444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanover Pediatric Dentistry, Pllc 648 Washington St Hanover MA 02339-2386 Ph: (781) 312-0444 | Hanover Pediatric Dentistry, Pllc 648 Washington St Hanover MA 02339-2386 Ph: (781) 312-0444 |
| NPI Number | 1902313570 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 01/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902313570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 1855698 (Massachusetts) | Primary |
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