Ryan Randol DDS PC
NPI #1003200205 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1003200205
- Entity Type
- Organization
- Organization Name
- Ryan Randol DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 25, 2015
- Last Updated
- Mar 25, 2015
Practice Location
- Address
- 3993 LAKE GROVE AVE
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-4493
- Phone
- (503) 636-0055
Authorized Official
- Name
- DR. RYAN RANDOL, D.D.S.
- Title
- PRESIDENT
- Phone
- (541) 671-3716
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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