Raynham Dental Group LLC

NPI #1972104032 in Raynham, Massachusetts

Provider Information

NPI Number: 1972104032
Entity Type: Organization
Organization Name: Raynham Dental Group LLC
Primary Specialty: Dentist
Enumeration Date: Nov 5, 2020
Last Updated: Nov 5, 2020

Practice Location

Address: 688 ORCHARD ST
City: Raynham
State: Massachusetts
ZIP Code: 02767-1342
Phone: (781) 562-3442

Authorized Official

Name: DR. RICHARD T MILLER, DMD
Title: OWNER
Phone: (781) 562-3442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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