Chantelle Elizabaeth Randall, DDS
NPI #1063185296 in Port Huron, Michigan
Provider Information
- NPI Number
- 1063185296
- Entity Type
- Individual
- Name
- Chantelle Elizabaeth Randall, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 25, 2021
- Last Updated
- Jul 26, 2021
Practice Location
- Address
- 1978 HOLLAND AVE
- City
- Port Huron
- State
- Michigan
- ZIP Code
- 48060-1520
- Phone
- (810) 987-7511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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