Randolph Family Dental | |
117 E Langley Universal City TX 78148-4414 | |
(210) 658-9031 | |
(210) 658-8202 |
Full Name | Randolph Family Dental |
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Speciality | Dentist - General Practice |
Location | 117 E Langley, Universal City, Texas |
Authorized Official Name and Position | Fortuna Alapag Vardeman (OWNER) |
Authorized Official Contact | 2106589031 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Randolph Family Dental 117 E Langley Universal City TX 78148-4414 Ph: (210) 658-9031 | Randolph Family Dental 117 E Langley Universal City TX 78148-4414 Ph: (210) 658-9031 |
NPI Number | 1659689776 |
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Provider Enumeration Date | 09/23/2010 |
Last Update Date | 09/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659689776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 18827 (Texas) | Primary |
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