DR. Randy Kent Waldron, D.D.S.

NPI #1154395499 in Ottawa, Kansas

Provider Information

NPI Number: 1154395499
Entity Type: Individual
Name: DR. Randy Kent Waldron, D.D.S.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Feb 14, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 1302 S MAIN ST
Address 2: SUITE 5
City: Ottawa
State: Kansas
ZIP Code: 66067-3527
Phone: (785) 242-2252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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