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Organization
RANDOLPH CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC
Active
Organization
RANDOLPH CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA MUNIZ (VP, PAYOR RELATIONS)
(469) 324-3242
Entity
Organization
Contact information
Practice address
447 ROUTE 10 E STE 5, RANDOLPH, NJ 07869-2132
(973) 328-1555
Mailing address
447 ROUTE 10 E STE 5, RANDOLPH, NJ 07869-2132
(973) 328-1555
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Enumeration date
09/09/2026
Last updated
09/09/2026
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