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Organization
RANDALL & RANDALL DENTAL ASSOCIATION
Active
Organization
RANDALL & RANDALL DENTAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW WARREN RANDALL DDS (PRESIDENT)
(972) 436-2431
Entity
Organization
Contact information
Practice address
457 W MAIN ST, LEWISVILLE, TX 75057-3771
(972) 436-2431
(972) 436-5633
Mailing address
457 W MAIN ST, LEWISVILLE, TX 75057-3771
(972) 436-2431
(972) 436-5633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19682
TX
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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