Individual
RICHARD TODD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1775 WASHINGTON ST, HANOVER, MA 02339
(781) 826-8866
(781) 826-1474
Mailing address
44 TILDEN COMMONS DR, QUINCY, MA 02171
(617) 921-6292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20980
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297551
—
MA
Enumeration date
04/06/2007
Last updated
07/08/2007
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