# RANDALL L. FOTO DDS

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

## Provider details

- **NPI number:** 1114315876
- **Authorized official:** RANDALL FOTO (DENTIST)
- **Authorized official phone:** (985) 626-4447

## Contact information

- **Practice address:** 645 LOTUS DR N, B, MANDEVILLE, LA 70471-3304
- **Practice address phone:** (985) 626-4447
- **Practice address fax:** (985) 674-6688
- **Mailing address:** 645 LOTUS DR N, B, MANDEVILLE, LA 70471-3304
- **Mailing address phone:** (985) 626-4447
- **Mailing address fax:** (985) 674-6688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2015
- **Last updated:** 01/05/2015