# RANDALL W. STETTLER, DDS, INC

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

## Provider details

- **NPI number:** 1790102127
- **Authorized official:** DR. RANDALL W STETTLER DDS (PRESIDENT)
- **Authorized official phone:** (619) 463-4486

## Contact information

- **Practice address:** 5565 GROSSMONT CENTER DR, BUILDING 1, SUITE 129, LA MESA, CA 91942-3020
- **Practice address phone:** (619) 463-4486
- **Practice address fax:** (619) 463-6553
- **Mailing address:** 5565 GROSSMONT CENTER DR, BUILDING 1, SUITE 129, LA MESA, CA 91942-3020
- **Mailing address phone:** (619) 463-4486
- **Mailing address fax:** (619) 463-6553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 39089 | CA | Yes |

## Other

- **Enumeration date:** 03/24/2014
- **Last updated:** 09/17/2025