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Organization

RANDOLPH DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLEN M. GOLDSTEIN DMD (PRESIDENT)
(973) 895-7995
Entity
Organization

Contact information

Practice address
1243 SUSSEX TPKE, RANDOLPH, NJ 07869-2997
(973) 895-7995
(973) 895-2332
Mailing address
1243 SUSSEX TPKE, RANDOLPH, NJ 07869-2997
(973) 895-7995
(973) 895-2332

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI16078
NJ

Other

Enumeration date
07/24/2006
Last updated
05/25/2011
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