Randal J Place | |
276 Main St Massena NY 13662-1901 | |
(315) 769-0942 | |
Not Available |
Full Name | Randal J Place |
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Speciality | Clinic/center - Dental |
Location | 276 Main St, Massena, New York |
Authorized Official Name and Position | Randal J Place (OWNER) |
Authorized Official Contact | 3157690942 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Randal J Place 276 Main St Massena NY 13662-1901 Ph: (315) 769-0942 | Randal J Place 276 Main St Massena NY 13662-1901 Ph: (315) 769-0942 |
NPI Number | 1609267814 |
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Provider Enumeration Date | 02/10/2015 |
Last Update Date | 02/24/2015 |
Identifier | Type | State | Issuer |
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1609267814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 044032 (New York) | Primary |