Individual
DR. CHARLES RANDOLPH LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., O.M.S.
Contact information
Practice address
2990 ORO DAM BLVD E, STE C, OROVILLE, CA 95966-5190
(530) 533-7900
(530) 533-3457
Mailing address
2619 FOREST AVE, STE 120, CHICO, CA 95928-4390
(530) 893-3912
(530) 893-2451
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
31940
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B31940
—
CA
Enumeration date
11/14/2006
Last updated
01/04/2018
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