Metro South Dental Group

NPI #1639612336 in Brockton, Massachusetts

Provider Information

NPI Number: 1639612336
Entity Type: Organization
Organization Name: Metro South Dental Group
Primary Specialty: Dentist
Enumeration Date: Nov 29, 2016
Last Updated: Nov 29, 2016

Practice Location

Address: 79 BYRON AVE
City: Brockton
State: Massachusetts
ZIP Code: 02301-4201
Phone: (781) 492-3389

Authorized Official

Name: DR. RICHARD MILLER, DMD
Title: OWNER
Phone: (781) 492-3389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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