# RANDOLPH ROBERT CROSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1073807426
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DD3517 | NM | — |
| 1223E0200X | Endodontics | 62890 | CA | Yes |

## Other

- **Enumeration date:** 06/02/2011
- **Last updated:** 09/27/2023