Organization
RANDAL J PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL J PLACE DDS (OWNER)
(315) 769-0942
Entity
Organization
Contact information
Practice address
276 MAIN ST, MASSENA, NY 13662-1901
(315) 769-0942
Mailing address
276 MAIN ST, MASSENA, NY 13662-1901
(315) 769-0942
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
044032
NY
Other
Enumeration date
02/10/2015
Last updated
02/24/2015
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