Organization
ULTIMATE DENTAL CARE OF RANDOLPH , PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EYAD SALLOUM DMD (PRESIDENT)
(781) 963-9200
Entity
Organization
Contact information
Practice address
1110 N MAIN ST, RANDOLPH, MA 02368-2132
(617) 462-8728
Mailing address
3 LT ANDERSON DR, FOXBORO, MA 02035-1372
(781) 963-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
06/15/2019
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