Organization
CENTRALMASSDENTALGROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONG WON KIM DMD (OWNER)
(978) 632-5659
Entity
Organization
Contact information
Practice address
49 CROSS ST, GARDNER, MA 01440-2213
(978) 632-5659
Mailing address
49 CROSS ST, GARDNER, MA 01440-2213
(978) 632-6569
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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