| Randall & Randall Dental Association | |
|
457 W Main St Lewisville TX 75057-3771 | |
| (972) 436-2431 | |
| (972) 436-5633 |
| Full Name | Randall & Randall Dental Association |
|---|---|
| Speciality | Dentist |
| Location | 457 W Main St, Lewisville, Texas |
| Authorized Official Name and Position | Andrew Warren Randall (PRESIDENT) |
| Authorized Official Contact | 9724362431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall & Randall Dental Association 457 W Main St Lewisville TX 75057-3771 Ph: (972) 436-2431 | Randall & Randall Dental Association 457 W Main St Lewisville TX 75057-3771 Ph: (972) 436-2431 |
| NPI Number | 1508251331 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 03/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508251331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19682 (Texas) | Primary |
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