Randa Bakoss

NPI #1275990517 in Madison Heights, Michigan

Provider Information

NPI Number: 1275990517
Entity Type: Individual
Name: Randa Bakoss
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Jan 18, 2016
Last Updated: Jan 18, 2016

Practice Location

Address: 27753 DEQUINDRE RD
City: Madison Heights
State: Michigan
ZIP Code: 48071-3477
Phone: (248) 582-8060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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