Individual
S MURRAY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS CAGS
Contact information
Practice address
1775 WASHINGTON STREET, HANOVER, MA 02339
(781) 826-8866
(781) 826-1474
Mailing address
34 COTTONWOOD ROAD, NEWTON CENTER, MA 02459-3112
(617) 527-5965
(617) 332-9034
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12082
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0243639
MASS HEALTH
MA
Enumeration date
04/18/2007
Last updated
07/08/2007
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