DR. Randel Dale Hermans, DDS

NPI #1255530622 in Camarillo, California

Provider Information

NPI Number: 1255530622
Entity Type: Individual
Name: DR. Randel Dale Hermans, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 16, 2007
Last Updated: Jul 16, 2007

Practice Location

Address: 2438 PONDEROSA DR N
Address 2: C-111
City: Camarillo
State: California
ZIP Code: 93010
Phone: (805) 482-1616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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