| Union Dental Randolph Llc | |
|
1110 N Main St Randolph MA 02368-2132 | |
| (781) 963-9200 | |
| Not Available |
| Full Name | Union Dental Randolph Llc |
|---|---|
| Speciality | Dentist |
| Location | 1110 N Main St, Randolph, Massachusetts |
| Authorized Official Name and Position | Tony Haoyu Tong (PRESIDENT) |
| Authorized Official Contact | 6178884672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Dental Randolph Llc 117 Sherman Rd Chestnut Hill MA 02467-3181 Ph: (617) 888-4672 | Union Dental Randolph Llc 1110 N Main St Randolph MA 02368-2132 Ph: (781) 963-9200 |
| NPI Number | 1306203971 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306203971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN1856286 (Massachusetts) | Primary |
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