Organization
MILLERLUNG DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH M. FANNING (OFFICE MANAGER)
(508) 399-8130
Entity
Organization
Contact information
Practice address
288 HIGHLAND AVE, SOUTH ATTLEBORO, MA 02703-6846
(508) 399-8130
(508) 761-5280
Mailing address
288 HIGHLAND AVE, SOUTH ATTLEBORO, MA 02703-6846
(508) 399-8130
(508) 761-5280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16607/17935
MA
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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