| Raynham Dental Group Llc | |
|
688 Orchard St Raynham MA 02767-1342 | |
| (781) 562-3442 | |
| Not Available |
| Full Name | Raynham Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 688 Orchard St, Raynham, Massachusetts |
| Authorized Official Name and Position | Richard T Miller (OWNER) |
| Authorized Official Contact | 7815623442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raynham Dental Group Llc 688 Orchard St Raynham MA 02767-1342 Ph: (781) 562-3442 | Raynham Dental Group Llc 688 Orchard St Raynham MA 02767-1342 Ph: (781) 562-3442 |
| NPI Number | 1972104032 |
|---|---|
| Provider Enumeration Date | 11/05/2020 |
| Last Update Date | 11/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972104032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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