Manchester Dental Group Plc

NPI #1245860774 in Manchester Center, Vermont

Provider Information

NPI Number: 1245860774
Entity Type: Organization
Organization Name: Manchester Dental Group Plc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 23, 2020
Last Updated: Jan 23, 2020

Practice Location

Address: 39 ELM ST
City: Manchester Center
State: Vermont
ZIP Code: 05255-9639
Phone: (802) 362-3636

Authorized Official

Name: RICHARD MILLER, DMD
Title: OWNER
Phone: (617) 921-6292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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