Randolph Family Dentistry Pc | |
56 S Main St Randolph MA 02368-4861 | |
(781) 963-0860 | |
Not Available |
Full Name | Randolph Family Dentistry Pc |
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Speciality | Dentist |
Location | 56 S Main St, Randolph, Massachusetts |
Authorized Official Name and Position | Eyad Salloum (DENTIST) |
Authorized Official Contact | 7819630860 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Randolph Family Dentistry Pc 3 Lt Anderson Dr Foxboro MA 02035-1372 Ph: (617) 462-8728 | Randolph Family Dentistry Pc 56 S Main St Randolph MA 02368-4861 Ph: (781) 963-0860 |
NPI Number | 1184155590 |
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Provider Enumeration Date | 03/27/2017 |
Last Update Date | 03/27/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184155590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 20104 (Massachusetts) | Primary |
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