Organization
HANOVER PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA LINDHOLM GROFF DMD, MS (OWNER/PEDIATRIC DENTIST)
(781) 312-0444
Entity
Organization
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
1223P0221X
Pediatric Dentistry
Primary
1855698
MA
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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