# ANDREW W RANDALL DDS & ASSOICATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063746006
- **Authorized official:** DR. ANDREW WARREN RANDALL D.D.S. (PRESIDENT)
- **Authorized official phone:** (214) 750-4901

## Contact information

- **Practice address:** 6805 HILLCREST AVENUE, SUITE 218, DALLAS, TX 75205
- **Practice address phone:** (214) 750-4901
- **Practice address fax:** (214) 750-7408
- **Mailing address:** 6805 HILLCREST AVENUE, SUITE 218, DALLAS, TX 75205
- **Mailing address phone:** (214) 750-4901
- **Mailing address fax:** (214) 750-7408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 19682 | TX | Yes |

## Other

- **Enumeration date:** 09/23/2009
- **Last updated:** 09/23/2009
