Organization
ANDOVER COSMETIC DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD TODD MILLER DMD (OWNER)
(781) 562-3442
Entity
Organization
Contact information
Practice address
34 PARK STREET, ANDOVER, MA 01810-3064
(978) 475-9111
(978) 475-6661
Mailing address
34 PARK STREET, ANDOVER, MA 01810-3064
(978) 475-9111
(978) 475-6661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20980
MA
Other
Enumeration date
08/13/2008
Last updated
05/24/2021
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