| Concord Woods Dental Group Llc | |
|
290 Baker Ave # 101 Concord MA 01742-2189 | |
| (978) 369-2062 | |
| Not Available |
| Full Name | Concord Woods Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 290 Baker Ave # 101, Concord, Massachusetts |
| Authorized Official Name and Position | Richard Todd Miller (OWNER) |
| Authorized Official Contact | 9783692062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Woods Dental Group Llc 290 Baker Ave # 101 Concord MA 01742-2189 Ph: (978) 369-2062 | Concord Woods Dental Group Llc 290 Baker Ave # 101 Concord MA 01742-2189 Ph: (978) 369-2062 |
| NPI Number | 1437392024 |
|---|---|
| Provider Enumeration Date | 04/12/2009 |
| Last Update Date | 04/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437392024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20980 (Massachusetts) | Primary |
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