| NPI | 1629520887 |
|---|---|
| Other Name | DENTAL ASSOCIATES RANDOLPH |
| Entity Type | Organization |
| Authorized Contact | RAMESH IZEDIAN Dentist 617-953-9647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 18174) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |