Union Dental Randolph LLC

NPI #1306203971 in Randolph, Massachusetts

Provider Information

NPI Number: 1306203971
Entity Type: Organization
Organization Name: Union Dental Randolph LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TONY TONG PC
Primary Specialty: Dentist
Enumeration Date: Jan 26, 2016
Last Updated: Jan 26, 2016

Practice Location

Address: 1110 N MAIN ST
City: Randolph
State: Massachusetts
ZIP Code: 02368-2132
Phone: (781) 963-9200

Authorized Official

Name: DR. TONY HAOYU TONG
Title: PRESIDENT
Phone: (617) 888-4672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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