Individual
DR. PETER WOJTKUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
351 N MAIN ST, ANDOVER, MA 01810-2610
(978) 475-1030
(978) 475-0030
Mailing address
351 NORTH MAIN ST, PO BOX 3268, ANDOVER, MA 01810-0805
(978) 475-1030
(978) 475-0030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13325
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X11578
BLUE CROSS BLUE SHIELD OF
MA
Enumeration date
07/26/2006
Last updated
07/08/2007
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