Individual
DR. RANDOLPH VANALSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25882 ORCHARD LAKE RD STE 105, FARMINGTON HILLS, MI 48336-1294
(248) 442-6600
(248) 564-0946
Mailing address
877 E LAKE SHORE DR, DECATUR, IL 62521-3390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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