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Organization
EVERGREEN FAMILY DENTISTRY
Active
Organization
EVERGREEN FAMILY DENTISTRY
Active
Other names
Randy D. Krant, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY DEE KRANT DDS (PARTNER)
(530) 842-2558
Entity
Organization
Contact information
Practice address
310 EVERGREEN LN, YREKA, CA 96097-3203
(530) 842-2558
(530) 842-9011
Mailing address
310 EVERGREEN LN, YREKA, CA 96097-3203
(530) 842-2558
(530) 842-9011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38440
CA
Other
Enumeration date
05/05/2007
Last updated
07/19/2007
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