Organization
DENTAL SPECIALTIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE MARIE FAIRFIELD CDA (OFFICE MANAGER)
(781) 963-2222
Entity
Organization
Contact information
Practice address
950 N MAIN ST, RANDOLPH, MA 02368-3064
(781) 963-2222
(781) 963-1282
Mailing address
950 N MAIN ST, RANDOLPH, MA 02368-3064
(781) 963-2222
(781) 963-1282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10377
MA
1223G0001X
General Practice Dentistry
15488
MA
Other
Enumeration date
08/24/2006
Last updated
07/28/2008
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