| Destiny Empowerment Center Inc | |
|
999 N Main St Ste 2 Randolph MA 02368-3072 | |
| (617) 984-5380 | |
| Not Available |
| Full Name | Destiny Empowerment Center Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 999 N Main St Ste 2, Randolph, Massachusetts |
| Authorized Official Name and Position | Anthony Oyebode Olatunji (DENTIST) |
| Authorized Official Contact | 7817749885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Empowerment Center Inc 999 N Main St Ste 2 Randolph MA 02368-3072 Ph: (617) 984-5380 | Destiny Empowerment Center Inc 999 N Main St Ste 2 Randolph MA 02368-3072 Ph: (617) 984-5380 |
| NPI Number | 1164143855 |
|---|---|
| Provider Enumeration Date | 09/09/2022 |
| Last Update Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164143855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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