Organization
SALEM DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD T MILLER (SOLE MEMBER)
(617) 921-6292
Entity
Organization
Contact information
Practice address
393 ESSEX ST, SALEM, MA 01970-3156
(978) 744-5912
Mailing address
500 CHAPMAN ST UNIT 201, CANTON, MA 02021-2040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20980
MA
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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