Individual
DR. GURSIMRAN SINGH AHLUWALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
300 MAIN ST, KINDRED SMILES PEDIATRIC DENTISTRY, GROTON, MA 01450-1379
(978) 448-8400
Mailing address
300 MAIN ST, GROTON, MA 01450-1379
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1856216
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110095989A
—
MA
Enumeration date
06/22/2010
Last updated
03/09/2017
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