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Organization
RICHARD J RAND JR DMD PA
Active
Organization
RICHARD J RAND JR DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOSEPH RAND JR. D.M.D. (PRESIDENT)
(941) 639-8030
Entity
Organization
Contact information
Practice address
428 E OLYMPIA AVE, PUNTA GORDA, FL 33950-3836
(941) 639-8030
(941) 639-1901
Mailing address
428 E OLYMPIA AVE, PUNTA GORDA, FL 33950-3836
(941) 639-8030
(941) 639-1901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN6965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
609637
UNITED CONCORDIA
—
01
—
66372
BCBS FL
FL
01
—
Z09609
BCBS MA
MA
Enumeration date
03/07/2007
Last updated
08/22/2020
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