Individual
DR. RANDOLPH ROBERT MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2700 BAKER ST, MUSKEGON HEIGHTS, MI 49444-2157
(231) 737-8603
(231) 737-9012
Mailing address
2700 BAKER ST, MUSKEGON HEIGHTS, MI 49444-2157
(231) 737-8603
(231) 737-9012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012600
MI
Other
Enumeration date
01/13/2006
Last updated
10/18/2012
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