MR. Randall Craig Medefesser, DDS

NPI #1932338381 in Millbrae, California

Provider Information

NPI Number: 1932338381
Entity Type: Individual
Name: MR. Randall Craig Medefesser, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 7, 2009
Last Updated: Jul 7, 2009

Practice Location

Address: 1149 OAKWOOD DRIVE
City: Millbrae
State: California
ZIP Code: 94030
Phone: (650) 367-4300

Specialties & Taxonomy Codes

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

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