| NPI | 1457899874 |
|---|---|
| Doing Business As | WESTPORT FAIRFIELD DENTAL |
| Entity Type | Organization |
| Authorized Contact | RICHARD MILLER CEO 617-921-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |