Organization
RANDOLPH SOUSA DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH SOUSA (OWNER)
(508) 567-1414
Entity
Organization
Contact information
Practice address
337 LINDEN ST, FALL RIVER, MA 02720-5218
(508) 567-1414
Mailing address
337 LINDEN ST, FALL RIVER, MA 02720-5218
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13266
MA
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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