Randolph L Lais, DDS

NPI #1003941857 in Rogers, Arkansas

Provider Information

NPI Number
1003941857
Entity Type
Individual
Name
Randolph L Lais, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Feb 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
5508 PINNACLE POINT DR
City
Rogers
ZIP Code
72758-8143
Phone
(479) 845-1225

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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