Organization
NEWTONVILLE DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD TODD MILLER DMD (PRESIDENT)
(781) 562-0457
Entity
Organization
Contact information
Practice address
456 NEWTONVILLE AVE, NEWTONVILLE, MA 02460-1925
(617) 244-4133
Mailing address
500 CHAPMAN ST UNIT 201, CANTON, MA 02021-2040
(781) 562-0457
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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