Individual
LAWRENCE S. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
156 ANDOVER ST, #220, DANVERS, MA 01923-1468
(978) 750-8828
Mailing address
156 ANDOVER ST, #220, DANVERS, MA 01923-1468
(978) 750-8828
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
18290
MA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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