Organization
SOUTH HADLEY DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD TODD MILLER DMD (PRESIDENT)
(781) 562-0457
Entity
Organization
Contact information
Practice address
446 NEWTON ST, SOUTH HADLEY, MA 01075-2331
(413) 536-4730
Mailing address
500 CHAPMAN ST UNIT 201, CANTON, MA 02021-2040
(781) 562-0457
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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