Randolph Family & Cosmetic Dentistry

NPI 1104221381 - Dentist - 122300000X

NPI Details
NPI 1104221381
Enumeration Date 10/29/2014
Last Updated 10/29/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name PHILIP PHILIP
Position OWNER
Phone (973) 895-4333
Fax
Practice Location
10 W HANOVER AVE
SUITE 101
RANDOLPH NJ, 07869-4221, US
Phone (973) 895-4333
Fax
Business Location
10 W HANOVER AVE
SUITE 101
RANDOLPH NJ, 07869-4221, US
Phone (973) 895-4333
Fax
Toxanomy
Taxonomy Code 122300000X
License State New Jersey
License Number 24793
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According to our database, Randolph Family & Cosmetic Dentistry NPI is 1104221381, taxonomy code is 122300000X and license number is 24793, license state is located at New Jersey. Randolph Family & Cosmetic Dentistry physically located at 10 W Hanover Ave, Randolph NJ, 07869-4221. NPI Number 1033115704 has the healthcare provider type.

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1104221381 NPI number is provided on an as is basis without warranty of any kind. 1104221381 is maintained by the National Plan & Provider Enumeration System. The contents of Randolph Family & Cosmetic Dentistry are for informational purposes only.