| Randolph Dental Group Llc | |
|
15 Warren St Randolph MA 02368-4015 | |
| (781) 963-3800 | |
| (781) 963-6906 |
| Full Name | Randolph Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 15 Warren St, Randolph, Massachusetts |
| Authorized Official Name and Position | Jane Chaney (SENIOR ACCOUNTANT) |
| Authorized Official Contact | 7815620469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Dental Group Llc 15 Warren St Randolph MA 02368-4015 Ph: (781) 963-3800 | Randolph Dental Group Llc 15 Warren St Randolph MA 02368-4015 Ph: (781) 963-3800 |
| NPI Number | 1356698443 |
|---|---|
| Provider Enumeration Date | 08/08/2012 |
| Last Update Date | 01/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356698443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11787 (Massachusetts) | Primary |
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