Randolph Dental Group LLC

NPI #1801440656 in Randolph, Massachusetts

Provider Information

NPI Number
1801440656
Entity Type
Organization
Organization Name
Randolph Dental Group LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 30, 2019
Last Updated
Jul 30, 2019

Practice Location

Address
96 N MAIN ST
ZIP Code
02368-4606
Phone
(781) 963-3800

Authorized Official

Name
VICKI J KENNEY
Title
CREDENTIALING SPECIALIST
Phone
(781) 562-0457

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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