Organization
WILMINGTON DENTAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA MORENO (BUSINESS MANAGER)
(617) 256-5972
Entity
Organization
Contact information
Practice address
206 BALLARDVALE ST, WILMINGTON, MA 01887-1044
(978) 752-2320
(978) 447-1600
Mailing address
206 BALLARDVALE ST, WILMINGTON, MA 01887-1044
(978) 752-2320
(978) 447-1600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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