Organization
RANDY K NEWBY, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY K NEWBY DDS (DENTIST)
(316) 667-2429
Entity
Organization
Contact information
Practice address
420 E MAIN ST, MOUNT HOPE, KS 67108-9459
(316) 667-2429
Mailing address
420 E MAIN ST, MOUNT HOPE, KS 67108-9459
(316) 667-2429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5674
KS
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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