| Randolph Family & Cosmetic Dentistry | |
|
10 W Hanover Ave Suite 101 Randolph NJ 07869-4221 | |
| (973) 895-4333 | |
| Not Available |
| Full Name | Randolph Family & Cosmetic Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 10 W Hanover Ave, Randolph, New Jersey |
| Authorized Official Name and Position | Philip Messer (OWNER) |
| Authorized Official Contact | 9738954333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Family & Cosmetic Dentistry 10 W Hanover Ave Suite 101 Randolph NJ 07869-4221 Ph: (973) 895-4333 | Randolph Family & Cosmetic Dentistry 10 W Hanover Ave Suite 101 Randolph NJ 07869-4221 Ph: (973) 895-4333 |
| NPI Number | 1104221381 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104221381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24793 (New Jersey) | Primary |
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