| Randolph Dental Smile Pllc | |
|
89 S Main St Randolph MA 02368-4896 | |
| (781) 963-4343 | |
| Not Available |
| Full Name | Randolph Dental Smile Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 89 S Main St, Randolph, Massachusetts |
| Authorized Official Name and Position | Ammar Bash (DENTIST/OWNER) |
| Authorized Official Contact | 7815265042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Dental Smile Pllc 3 Jamie Ln Shrewsbury MA 01545-6319 Ph: (781) 526-5042 | Randolph Dental Smile Pllc 89 S Main St Randolph MA 02368-4896 Ph: (781) 963-4343 |
| NPI Number | 1982178281 |
|---|---|
| Provider Enumeration Date | 01/20/2019 |
| Last Update Date | 01/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982178281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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