DR. Randolph Charles Daniel, DDS

NPI #1356423230 in Stockbridge, Georgia

Provider Information

NPI Number
1356423230
Entity Type
Individual
Name
DR. Randolph Charles Daniel, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Oct 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
5634 N HENRY BLVD
Address 2
SUITE C
State
Georgia
ZIP Code
30281-3418
Phone
(770) 474-6900

Specialties & Taxonomy Codes

Specialty
Dentist

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