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Organization

ADVANCED DENTAL OF WESTPORT

Active
Other names
Westport Fairfield Dental
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD MILLER DMD (CEO)
(617) 921-6292
Entity
Organization

Contact information

Practice address
7 WHITNEY STREET EXT, WESTPORT, CT 06880-3761
(203) 227-6572
(203) 227-4788
Mailing address
500 CHAPMAN ST UNIT 201, CANTON, MA 02021-2040
(781) 562-0457

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
02/06/2017
Last updated
02/06/2017
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