# RANDOLPH CROSS DDS, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Watsonville Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528843323
- **Authorized official:** RANDOLPH ROBERT CROSS DDS (CEO)
- **Authorized official phone:** (831) 536-5295

## Contact information

- **Practice address:** 390 S GREEN VALLEY RD STE 7, WATSONVILLE, CA 95076-3077
- **Practice address phone:** (831) 536-5295
- **Practice address fax:** (831) 536-5296
- **Mailing address:** 390 S GREEN VALLEY RD STE 7, WATSONVILLE, CA 95076-3077
- **Mailing address phone:** (831) 536-5295
- **Mailing address fax:** (831) 536-5296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2023
- **Last updated:** 08/29/2023