Individual
TARA LINDHOLM GROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
648 WASHINGTON ST, HANOVER, MA 02339-2386
(781) 312-0444
Mailing address
648 WASHINGTON ST, HANOVER, MA 02339-2386
(781) 312-0444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021767
MI
122300000X
Dentist
DN1855698
MA
1223P0221X
Pediatric Dentistry
Primary
DN1855698
MA
Other
Enumeration date
06/14/2011
Last updated
01/22/2018
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