# RANDY L BALL PLLC

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

## Provider details

- **NPI number:** 1679099246
- **Authorized official:** DR. RANDY L BALL DMD, MSD (MEMBER)
- **Authorized official phone:** (425) 281-7898

## Contact information

- **Practice address:** 336 228TH AVE NE STE 201, SAMMAMISH, WA 98074-7290
- **Practice address phone:** (425) 657-0538
- **Practice address fax:** (425) 657-0772
- **Mailing address:** 832 LANCASTER WAY SE, SAMMAMISH, WA 98075-7176
- **Mailing address phone:** (425) 281-7898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | DE60539741 | WA | Yes |

## Other

- **Enumeration date:** 08/16/2017
- **Last updated:** 08/16/2017