Individual
DR. RANDALL W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
284 CAMBRIDGE ST, BURLINGTON, MA 01803
(781) 272-0540
(781) 272-0540
Mailing address
284 CAMBRIDGE ST, BURLINGTON, MA 01803
(781) 272-0540
(781) 272-0540
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13956
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0252247
—
MA
Enumeration date
08/16/2006
Last updated
07/08/2007
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