Organization
GROTON DENTAL WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M NORDIN-EVANS DDS (OWNER)
(978) 449-9919
Entity
Organization
Contact information
Practice address
495 MAIN STREET, GROTON, MA 01450
(978) 449-9919
(978) 449-9929
Mailing address
495 MAIN STREET, GROTON, MA 01450
(978) 449-9919
(978) 449-9929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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