| Randolph Sousa Dmd | |
|
337 Linden St Fall River MA 02720-5218 | |
| (508) 567-1414 | |
| Not Available |
| Full Name | Randolph Sousa Dmd |
|---|---|
| Speciality | Dentist |
| Location | 337 Linden St, Fall River, Massachusetts |
| Authorized Official Name and Position | Randolph Sousa (OWNER) |
| Authorized Official Contact | 5085671414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Sousa Dmd 337 Linden St Fall River MA 02720-5218 Ph: () - | Randolph Sousa Dmd 337 Linden St Fall River MA 02720-5218 Ph: (508) 567-1414 |
| NPI Number | 1891134805 |
|---|---|
| Provider Enumeration Date | 06/24/2013 |
| Last Update Date | 06/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891134805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13266 (Massachusetts) | Primary |
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