| Randall L. Foto Dds | |
|
645 Lotus Dr N B Mandeville LA 70471-3304 | |
| (985) 626-4447 | |
| (985) 674-6688 |
| Full Name | Randall L. Foto Dds |
|---|---|
| Speciality | Dentist |
| Location | 645 Lotus Dr N, Mandeville, Louisiana |
| Authorized Official Name and Position | Randall Foto (DENTIST) |
| Authorized Official Contact | 9856264447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall L. Foto Dds 645 Lotus Dr N B Mandeville LA 70471-3304 Ph: (985) 626-4447 | Randall L. Foto Dds 645 Lotus Dr N B Mandeville LA 70471-3304 Ph: (985) 626-4447 |
| NPI Number | 1114315876 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 01/05/2015 |
| Medicare PECOS PAC ID | 5496078065 |
|---|---|
| Medicare Enrollment ID | O20150622001283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114315876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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