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
- City
- Randolph
- State
- Massachusetts
- 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 Practice — General Practice |
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