Organization
EL SHADDAI DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY OLATUNJI D.M. D (OWNER)
(781) 986-8800
Entity
Organization
Contact information
Practice address
1134 N MAIN ST, RANDOLPH, MA 02368-2130
(781) 986-8800
(781) 986-1600
Mailing address
1134 N MAIN ST, RANDOLPH, MA 02368-2130
(781) 986-8800
(781) 986-1600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19621
MA
Other
Enumeration date
03/26/2007
Last updated
07/14/2008
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