Organization
BEVERLY DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MILLER DMD (PRESIDENT)
(617) 921-6292
Entity
Organization
Contact information
Practice address
16 ENON ST, BEVERLY, MA 01915-1116
(617) 921-6292
Mailing address
16 ENON ST, BEVERLY, MA 01915-1116
(617) 921-6292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20980
MA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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