Randolph Dental Group LLC

NPI #1356698443 in Randolph, Massachusetts

Provider Information

NPI Number: 1356698443
Entity Type: Organization
Organization Name: Randolph Dental Group LLC
Primary Specialty: Dentist
Enumeration Date: Aug 8, 2012
Last Updated: Jan 17, 2019

Practice Location

Address: 15 WARREN ST
City: Randolph
State: Massachusetts
ZIP Code: 02368-4015
Phone: (781) 963-3800

Authorized Official

Name: JANE CHANEY
Title: SENIOR ACCOUNTANT
Phone: (781) 562-0469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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