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Organization
MELISSA D. RANDELL,D.D.S.
Active
Organization
MELISSA D. RANDELL,D.D.S.
Active
Other names
Caney Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MELI D RANDELL DDS (OWNER)
(620) 879-2386
Entity
Organization
Contact information
Practice address
101 S MCGEE ST, CANEY, KS 67333-2179
(620) 879-2386
Mailing address
PO BOX 8, CANEY, KS 67333-0008
(620) 879-2386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
60171
KS
122300000X
Dentist
61007
KS
1223G0001X
General Practice Dentistry
Primary
61007
KS
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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