Organization
BRAINTREE DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MILLER DMD (PRESIDENT)
(617) 921-6292
Entity
Organization
Contact information
Practice address
369 WASHINGTON ST, BRAINTREE, MA 02184-4705
(617) 921-6292
Mailing address
369 WASHINGTON ST, BRAINTREE, MA 02184-4705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20980
MA
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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