Advanced Dental of Westport

NPI #1457899874 in Westport, Connecticut

Provider Information

NPI Number: 1457899874
Entity Type: Organization
Organization Name: Advanced Dental of Westport
Primary Specialty: Dentist
Enumeration Date: Feb 6, 2017
Last Updated: Feb 6, 2017

Practice Location

Address: 7 WHITNEY STREET EXT
City: Westport
State: Connecticut
ZIP Code: 06880-3761
Phone: (203) 227-6572

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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