DR. Randall R Penn, DDS

NPI #1649228057 in Commerce Twp, Michigan

Provider Information

NPI Number: 1649228057
Entity Type: Individual
Name: DR. Randall R Penn, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DDS
Enumeration Date: May 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8906 COMMERCE RD
Address 2: STE 1
City: Commerce Twp
State: Michigan
ZIP Code: 48382
Phone: (248) 363-5900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Organizations

Provider Name	Specialty	City
Icare Oral Surgery and Dental Implant Center Pllc	Dentist - Oral and Maxillofacial Surgery	Commerce Twp	AI Deep Dive

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