DR. Randell S. Terry, DMD

NPI #1700898392 in Wills Point, Texas

Provider Information

NPI Number: 1700898392
Entity Type: Individual
Name: DR. Randell S. Terry, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 12, 2006
Last Updated: Feb 9, 2011

Practice Location

Address: 209 CORKY BOYD AVE
City: Wills Point
State: Texas
ZIP Code: 75169-2815
Phone: (903) 873-2523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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