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Organization

RANDOLPH DENTAL GROUP LLC

Active
Parent organization
RANDOLPH DENTAL GROUP LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
RANDOLPH DENTAL GROUP LLC
Authorized official
JANE CHANEY (SENIOR ACCOUNTANT)
(781) 562-0469
Entity
Organization

Contact information

Practice address
1 FRANK LEARY WAY UNIT 4, RANDOLPH, MA 02368-4503
(781) 963-7204
Mailing address
500 CHAPMAN ST UNIT 201, CANTON, MA 02021-2040

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
01/23/2019
Last updated
01/23/2019
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