Individual
ELMO R RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
462 S HARRISON ST, ORANGE, NJ 07050-3115
(973) 674-8180
(973) 676-5020
Mailing address
462 S HARRISON ST, ORANGE, NJ 07050-3115
(973) 674-8180
(973) 676-5020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14034
NJ
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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