| Carol Randolph Wald Dds Pc | |
|
101 Austin Blvd Suite 100 Red Oak TX 75154-4660 | |
| (972) 617-3322 | |
| Not Available |
| Full Name | Carol Randolph Wald Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Austin Blvd, Red Oak, Texas |
| Authorized Official Name and Position | Carol Randolph Wald (PRESIDENT AND CEO) |
| Authorized Official Contact | 9726173322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Randolph Wald Dds Pc 101 Austin Blvd Suite 100 Red Oak TX 75154-4660 Ph: (972) 617-3322 | Carol Randolph Wald Dds Pc 101 Austin Blvd Suite 100 Red Oak TX 75154-4660 Ph: (972) 617-3322 |
| NPI Number | 1588786313 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588786313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12766 (Texas) | Primary |
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