DR. Randall O Grill, DDS

NPI #1063741593 in Oklahoma City, Oklahoma

Provider Information

NPI Number
1063741593
Entity Type
Individual
Name
DR. Randall O Grill, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Dec 11, 2009
Last Updated
Dec 27, 2011

Practice Location

Address
2328 SW 136TH ST
ZIP Code
73170-5143
Phone
(405) 590-8331

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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