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
- State
- Massachusetts
- ZIP Code
- 01450
- Phone
- (978) 448-6814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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| DR. Marc Christopher Valli, D.M.D. | |
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Organizations
| Provider Name | |
|---|---|
| Groton Dental Wellness Center |
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