| Nedg Wilmington | |
|
206 Ballardvale St Wilmington MA 01887-1044 | |
| (508) 962-2332 | |
| Not Available |
| Full Name | Nedg Wilmington |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 206 Ballardvale St, Wilmington, Massachusetts |
| Authorized Official Name and Position | Gokulan Thiagarajah (DIRECTOR/OWNER) |
| Authorized Official Contact | 5089622332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nedg Wilmington 257 Turnpike Rd Ste 330 Southborough MA 01772-1791 Ph: (508) 281-6464 | Nedg Wilmington 206 Ballardvale St Wilmington MA 01887-1044 Ph: (508) 962-2332 |
| NPI Number | 1023586062 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023586062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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