Organization
NEWBURYPORT 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
1 INN ST APT 4, NEWBURYPORT, MA 01950-2557
(978) 462-2530
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
08/13/2018
Last updated
08/13/2018
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