Organization
DESTINY EMPOWERMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA OLATUNJI (CEO)
(617) 984-5380
Entity
Organization
Contact information
Practice address
999 N MAIN ST STE 2, RANDOLPH, MA 02368-3072
(617) 984-5380
Mailing address
PO BOX 486, RANDOLPH, MA 02368-0486
(617) 984-5380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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