Organization
EMILIE D. MILLER, DMD, PC
Active
Other names
Super Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILIE D MILLER (PRESIDENT)
(781) 309-7086
Entity
Organization
Contact information
Practice address
54 MIDDLESEX TPKE, SUITE 104, BURLINGTON, MA 01803-4908
(781) 272-1288
Mailing address
54 MIDDLESEX TPKE, SUITE 104, BURLINGTON, MA 01803-4908
(781) 272-1288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21363
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110077883A
—
MA
Enumeration date
10/24/2013
Last updated
06/03/2015
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