Carla Marta Randolph, DDS

NPI #1255534558 in Onsted, Michigan

Provider Information

NPI Number
1255534558
Entity Type
Individual
Name
Carla Marta Randolph, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jun 6, 2007
Last Updated
Oct 24, 2007

Practice Location

Address
7555 US12
City
Onsted
ZIP Code
49265-9822
Phone
(517) 467-4423

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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