Randalll Davis Mdm PC

NPI #1932530656 in Somerville, Massachusetts

Provider Information

NPI Number: 1932530656
Entity Type: Organization
Organization Name: Randalll Davis Mdm PC
Primary Specialty: Dentist
Enumeration Date: Dec 5, 2013
Last Updated: Dec 5, 2013

Practice Location

Address: 14 MYRTLE ST
City: Somerville
State: Massachusetts
ZIP Code: 02145-4312
Phone: (857) 498-1353

Authorized Official

Name: REYNA E GONZALEZ
Title: OFFICE MANAGER
Phone: (978) 686-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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