Search › Massachusetts › 122300000X
Mallory Vukovic
NPI 1124767843 · on the registry since 2022
Practice
- Address
- 96 N Main St
Randolph, MA 02368 - Phone
- (781) 805-3001
- Organisation at this address
- Randolph Dental Group Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 97 Neponset Ave, Dorchester, MA
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts