Individual
DR. RANDALL EUGENE NIEDERKOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
321 N LARCHMONT BLVD, STE 809, LOS ANGELES, CA 90004
(323) 463-8322
(323) 463-0937
Mailing address
321 N LARCHMONT BLVD, STE 809, LOS ANGELES, CA 90004
(323) 463-8322
(323) 463-0937
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
30018784
OH
1223P0221X
Pediatric Dentistry
Primary
39055
CA
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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