| Randolph L. Kixmiller,dds,pa | |
|
212 S Tryon St #1502 Charlotte NC 28281-0001 | |
| (704) 342-4014 | |
| Not Available |
| Full Name | Randolph L. Kixmiller,dds,pa |
|---|---|
| Speciality | Dentist |
| Location | 212 S Tryon St, Charlotte, North Carolina |
| Authorized Official Name and Position | Randolph L Kixmiller (OWNER/PRESIDENT) |
| Authorized Official Contact | 7043424014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph L. Kixmiller,dds,pa 212 S Tryon St #1502 Charlotte NC 28281-0001 Ph: (704) 342-4014 | Randolph L. Kixmiller,dds,pa 212 S Tryon St #1502 Charlotte NC 28281-0001 Ph: (704) 342-4014 |
| NPI Number | 1336317601 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 02/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336317601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 103687 (North Carolina) | Primary |
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