| Randolph Dental Group Llc | |
|
1 Frank Leary Way Unit 4 Randolph MA 02368-4503 | |
| (781) 963-7204 | |
| Not Available |
| Full Name | Randolph Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 1 Frank Leary Way Unit 4, 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 500 Chapman St Unit 201 Canton MA 02021-2040 Ph: () - | Randolph Dental Group Llc 1 Frank Leary Way Unit 4 Randolph MA 02368-4503 Ph: (781) 963-7204 |
| NPI Number | 1972067072 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 01/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972067072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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