Randall Family Dentistry Pllc
NPI #1649916628 in Chino Valley, Arizona
Provider Information
- NPI Number
- 1649916628
- Entity Type
- Organization
- Organization Name
- Randall Family Dentistry Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 11, 2022
- Last Updated
- May 11, 2022
Practice Location
- Address
- 1598 SUSAN A WILLIAMS WAY STE E
- City
- Chino Valley
- State
- Arizona
- ZIP Code
- 86323-6171
- Phone
- (928) 636-6872
Authorized Official
- Name
- DR. NICK RANDALL, DMD
- Title
- PRESIDENT
- Phone
- (928) 636-6872
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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