El Shaddai Dental
El Shaddai Dental provides General Practice Dentistry in Randolph, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.
- Licensed in
- MA
- In the registry since
- 2007
Practice location Address checks out
1134 N Main StRandolph, MA 02368-2130 Not confirmed with CMS for 18 years — call before visiting
Phone: (781) 986-8800
Fax: (781) 986-1600
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 19621 (MA) |
|---|
Record details
| NPI number | 1336266980 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anthony Olatunji — Owner · (781) 986-8800 |
| NPI enumerated | March 26, 2007 |
| Last updated in NPPES | July 14, 2008 |
| Mailing address | 1134 N Main St, Randolph, MA 02368-2130 |
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