DR. Thomas Randall Parham, D.M.D.

NPI #1205055704 in Holly Hill, Florida

Provider Information

NPI Number: 1205055704
Entity Type: Individual
Name: DR. Thomas Randall Parham, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Apr 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1702 RIDGEWOOD AVE
City: Holly Hill
State: Florida
ZIP Code: 32117-5416
Phone: (386) 672-1830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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