DR. Charles Jack Randel, DDS

NPI #1073684072 in Stanwood, Washington

Provider Information

NPI Number
1073684072
Entity Type
Individual
Name
DR. Charles Jack Randel, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Nov 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
26323 72ND AVE NW
ZIP Code
98292-9315
Phone
(360) 629-2148

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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