| Randall Family Dentistry Pllc | |
|
1598 Susan A Williams Way Ste E Chino Valley AZ 86323-6171 | |
| (928) 636-6872 | |
| Not Available |
| Full Name | Randall Family Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1598 Susan A Williams Way Ste E, Chino Valley, Arizona |
| Authorized Official Name and Position | Nick Randall (PRESIDENT) |
| Authorized Official Contact | 9286366872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Family Dentistry Pllc 1598 Susan A Williams Way Ste E Chino Valley AZ 86323-6171 Ph: (928) 636-6872 | Randall Family Dentistry Pllc 1598 Susan A Williams Way Ste E Chino Valley AZ 86323-6171 Ph: (928) 636-6872 |
| NPI Number | 1649916628 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649916628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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