Organization
CONCORD WOODS DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD TODD MILLER (OWNER)
(978) 369-2062
Entity
Organization
Contact information
Practice address
290 BAKER AVE # 101, CONCORD, MA 01742-2189
(978) 369-2062
Mailing address
290 BAKER AVE # 101, CONCORD, MA 01742-2189
(978) 369-2062
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20980
MA
Other
Enumeration date
04/12/2009
Last updated
04/12/2009
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