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Organization
GROTON WELLNESS FAMILY DENTISTRY,LLC
Active
Organization
GROTON WELLNESS FAMILY DENTISTRY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G.ROBERT EVANS DMD (OWNER)
(978) 449-9919
Entity
Organization
Contact information
Practice address
495 MAIN ST, GROTON, MA 01450-4253
(978) 449-9919
(978) 449-9929
Mailing address
495 MAIN ST, GROTON, MA 01450-4253
(978) 449-9919
(978) 449-9929
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13901
MA
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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