Randall Niederkohr,d.d.s,inc.

NPI #1629617980 in Tiffin, Ohio

Provider Information

NPI Number
1629617980
Entity Type
Organization
Organization Name
Randall Niederkohr,d.d.s,inc.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 3, 2020
Last Updated
Jan 3, 2020

Practice Location

Address
27 ST LAWRENCE DR STE 109
City
Tiffin
State
Ohio
ZIP Code
44883-8314
Phone
(419) 447-7337

Authorized Official

Name
DR. RANDLL EUGENE NIEDERKOHR, D.D.S.
Title
OWNER
Phone
(323) 816-3581

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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