Gd Nj Randolph LLC
NPI #1003689233 in Randolph, New Jersey
Provider Information
- NPI Number
- 1003689233
- Entity Type
- Organization
- Organization Name
- Gd Nj Randolph LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 31, 2023
- Last Updated
- Oct 31, 2023
Practice Location
- Address
- 2 W HANOVER AVE STE 201
- City
- Randolph
- State
- New Jersey
- ZIP Code
- 07869-4222
- Phone
- (973) 895-5111
Authorized Official
- Name
- CHAD HENDRICKS
- Title
- CREDENTIALING
- Phone
- (612) 859-0444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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