Shelby Randolph, RDH

NPI #1982249900 in Mc Cook, Nebraska

Provider Information

NPI Number: 1982249900
Entity Type: Individual
Name: Shelby Randolph, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Nov 13, 2019
Last Updated: Feb 2, 2021

Practice Location

Address: 2009 W J ST
City: Mc Cook
State: Nebraska
ZIP Code: 69001-3090
Phone: (308) 345-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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