GREAT POND DENTAL PC NPI 1194088096

NPI Information

GREAT POND DENTAL PC is a general practice dentist in Wakefield, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GREAT POND DENTAL PC NPI is 1194088096. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

202 LOWELL ST
WAKEFIELD, MA
ZIP 01880-017
Phone: (781) 245-1731
Fax: (781) 245-2325

The provider's authorized official is Inna O Komarovskaya .
The authorized official title is General Dentist/owner and has the following contact phone number (781) 245-1731.

The enumeration date for this NPI number is 6/17/2012 and was last updated on 8/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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