Organization
BRIAN H. MILLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO-ANN FOLEY ALLEN (OFFICE MANAGER)
19783694709
Entity
Organization
Contact information
Practice address
801 MAIN ST, CONCORD, MA 01742-3313
(197) 836-9470
Mailing address
23 LOCKE RD, WABAN, MA 02468-1415
(617) 969-2779
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12230
MA
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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