| Destiny Empowerment Center Inc | |
|
999 N Main St Ste 2 Randolph MA 02368-3072 | |
| (617) 984-5380 | |
| Not Available |
| Full Name | Destiny Empowerment Center Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 999 N Main St Ste 2, Randolph, Massachusetts |
| Authorized Official Name and Position | Gloria Olatunji (CEO) |
| Authorized Official Contact | 6179845380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Empowerment Center Inc Po Box 486 Randolph MA 02368-0486 Ph: (617) 984-5380 | Destiny Empowerment Center Inc 999 N Main St Ste 2 Randolph MA 02368-3072 Ph: (617) 984-5380 |
| NPI Number | 1225773146 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 05/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225773146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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