Organization
MANCHESTER DENTAL GROUP PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MILLER DMD (OWNER)
(617) 921-6292
Entity
Organization
Contact information
Practice address
39 ELM ST, MANCHESTER CENTER, VT 05255-9639
(802) 362-3636
Mailing address
39 ELM ST, MANCHESTER CENTER, VT 05255-9639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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