Whalio Doctors

NPI 1164143855

Destiny Empowerment Center INC

Organisation Primary Care Clinic/Center Randolph, MA

Practice location

Address
999 N Main St STE 2, Randolph, MA 02368-3072
Phone
(617) 984-5380

Authorised official

Name
Anthony Oyebode Olatunji
Title
Dentist
Phone
(781) 774-9885

Registered specialties

Primary Care Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QP2300X

Registry record

NPI
1164143855
Entity type
Organization
NPI issued
9 Sep 2022
Record last updated
9 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.