Organization
PREMIER DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L MILLER D.D.S. (PRESIDENT)
(617) 894-4220
Entity
Organization
Contact information
Practice address
232 POND ST, 2ND FLOOR, NATICK, MA 01760-4366
(617) 894-4220
Mailing address
232 POND ST, 2ND FLOOR, NATICK, MA 01760-4366
(617) 894-4220
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
21541
MA
1223G0001X
General Practice Dentistry
Primary
21541
MA
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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