Randalll Davis Mdm Pc

LBN: Randalll Davis Mdm Pc
Randalll Davis Mdm Pc is an health care organization with primary practice located at 14 Myrtle St , Somerville MA 02145-4312. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Randalll Davis Mdm Pc can be contacted via phone (857) 498-1353, or through Gonzalez, Reyna E via phone (978) 686-8500.

Contact Information

Primary practice address
14 Myrtle St Somerville MA 02145-4312
Phone: (857) 498-1353
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Reyna E
Phone: (978) 686-8500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN1856426 Massachusetts

Profile Details

NPI number 1932530656
LBN Legal business name Randalll Davis Mdm Pc
DBA Doing business as
Authorized official Gonzalez, Reyna E
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2013
Last updated Dec 5th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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