Organization
RANDOLPH FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EYAD SALLOUM DMD (DENTIST)
(781) 963-0860
Entity
Organization
Contact information
Practice address
56 S MAIN ST, RANDOLPH, MA 02368-4861
(781) 963-0860
Mailing address
3 LT ANDERSON DR, FOXBORO, MA 02035-1372
(617) 462-8728
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20104
MA
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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