Individual
DR. RANDY SCOTT FAECHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2495 SHREVEPORT HWY, DENTAL SERVICE, ALEXANDRIA VA HEALTHCARE SYSTEM, PINEVILLE, LA 71360-4044
(318) 466-2567
Mailing address
2495 SHREVEPORT HWY, DENTAL SERVICE, ALEXANDRIA VA HEALTHCARE SYSTEM, PINEVILLE, LA 71360-4044
(318) 466-2567
(318) 466-2567
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 12491
FL
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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