Organization
MCMILLEN ORTHODONTICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK H MCMILLEN DDS (OWNER)
(401) 331-7171
Entity
Organization
Contact information
Practice address
1226 HARTFORD AVE, SUITE 101, JOHNSTON, RI 02919-7100
(401) 331-7171
(401) 331-2755
Mailing address
1226 HARTFORD AVE, SUITE 101, JOHNSTON, RI 02919-7100
(401) 331-7171
(401) 331-2755
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN0149
RI
Other
Enumeration date
07/22/2006
Last updated
11/11/2009
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