Individual
RANDOLPH JOSEPH SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
385 COLUMBIA ST, FALL RIVER, MA 02721
(508) 673-9132
Mailing address
385 COLUMBIA ST, FALL RIVER, MA 02721
(508) 673-9132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13266
MA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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