Organization
PEABODY DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD TODD MILLER DMD (PRESIDENT)
(781) 562-0457
Entity
Organization
Contact information
Practice address
619 LOWELL ST UNIT 2, PEABODY, MA 01960-2316
(978) 535-3443
Mailing address
500 CHAPMAN ST UNIT 201, CANTON, MA 02021-2040
(781) 562-0457
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20980
MA
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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