Organization · Type 2 NPI
Randolph Dental Inc
Dental Clinic/Center · Chicago, IL
NPI number
1740824036
Active
Practice location
1342 W Randolph St
Chicago, IL 60607-1526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1740824036
Randolph Dental Inc's National Provider Identifier is 1740824036, issued on Oct 30, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Oct 30, 2019.