Newtonville Dental Group, LLC

NPI #1942708219 in Newtonville, Massachusetts

Provider Information

NPI Number: 1942708219
Entity Type: Organization
Organization Name: Newtonville Dental Group, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 31, 2018
Last Updated: Jan 31, 2018

Practice Location

Address: 456 NEWTONVILLE AVE
City: Newtonville
State: Massachusetts
ZIP Code: 02460-1925
Phone: (617) 244-4133

Authorized Official

Name: DR. RICHARD TODD MILLER, DMD
Title: PRESIDENT
Phone: (781) 562-0457

Specialties & Taxonomy Codes

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

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