Dental Associates Randolph

NPI #1629520887 in Randolph, Massachusetts

Provider Information

NPI Number: 1629520887
Entity Type: Organization
Organization Name: Dental Associates Randolph
Primary Specialty: Dentist
Enumeration Date: Nov 3, 2016
Last Updated: Nov 3, 2016

Practice Location

Address: 56 S MAIN STREET
City: Randolph
State: Massachusetts
ZIP Code: 02368-4861
Phone: (617) 323-3443

Authorized Official

Name: RAMESH IZEDIAN, DMD
Title: DENTIST
Phone: (617) 953-9647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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