Mark Lane Randall, D.M.D.

NPI #1316001233 in Groton, Massachusetts

Provider Information

NPI Number
1316001233
Entity Type
Individual
Name
Mark Lane Randall, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Dec 22, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
16A HOLLIS ST.
City
Groton
ZIP Code
01450
Phone
(978) 448-6814

Specialties & Taxonomy Codes

Specialty
Dentist

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