Randal A. Knudson DDS PC
NPI #1417198169 in Highland Park, Illinois
Provider Information
- NPI Number
- 1417198169
- Entity Type
- Organization
- Organization Name
- Randal A. Knudson DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 10, 2009
- Last Updated
- Mar 10, 2009
Practice Location
- Address
- 1893 SHERIDAN RD
- Address 2
- SUITE 315
- City
- Highland Park
- State
- Illinois
- ZIP Code
- 60035-2628
- Phone
- (847) 432-0860
Authorized Official
- Name
- DR. RANDAL A. KNUDSON, D.D.S.
- Title
- OWNER
- Phone
- (847) 432-0860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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