Organization
METRO SOUTH DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MILLER DMD (OWNER)
(781) 492-3389
Entity
Organization
Contact information
Practice address
79 BYRON AVE, BROCKTON, MA 02301-4201
(781) 492-3389
Mailing address
79 BYRON AVE, BROCKTON, MA 02301-4201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20980
MA
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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