| Ryan Randol Dds Pc | |
|
3993 Lake Grove Ave Lake Oswego OR 97035-4493 | |
| (503) 636-0055 | |
| Not Available |
| Full Name | Ryan Randol Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3993 Lake Grove Ave, Lake Oswego, Oregon |
| Authorized Official Name and Position | Ryan Randol (PRESIDENT) |
| Authorized Official Contact | 5416713716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Randol Dds Pc 3993 Lake Grove Ave Lake Oswego OR 97035-4493 Ph: () - | Ryan Randol Dds Pc 3993 Lake Grove Ave Lake Oswego OR 97035-4493 Ph: (503) 636-0055 |
| NPI Number | 1003200205 |
|---|---|
| Provider Enumeration Date | 03/25/2015 |
| Last Update Date | 03/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003200205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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