Organization
PREMIER DENTAL GROUP OF WELLESLEY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA L. WANG DMD (OWNER)
(781) 237-3031
Entity
Organization
Contact information
Practice address
70 WALNUT ST. , STE102, WELLESLEY, MA 02481
(781) 237-3031
(781) 237-3968
Mailing address
70 WALNUT ST. , STE102, WELLESLEY, MA 02481
(781) 237-3031
(781) 237-3968
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
11/14/2006
Last updated
07/15/2021
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