Katelyn M Randolph, RDH

NPI #1467733030 in Telluride, Colorado

Provider Information

NPI Number: 1467733030
Entity Type: Individual
Name: Katelyn M Randolph, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Sep 8, 2011
Last Updated: Sep 8, 2011

Practice Location

Address: 220 E COLORADO AVE
Address 2: STE 106
City: Telluride
State: Colorado
ZIP Code: 81435
Phone: (719) 480-3822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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