DR. Randall David Stastny, DMD

NPI #1699772509 in Blue Ash, Ohio

Provider Information

NPI Number
1699772509
Entity Type
Individual
Name
DR. Randall David Stastny, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DMD
Enumeration Date
Jul 7, 2005
Last Updated
Mar 16, 2012

Practice Location

Address
4350 MALSBARY RD
Address 2
SUITE 201
State
Ohio
ZIP Code
45242-5665
Phone
(513) 984-2100

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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