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Individual

RANDALL WILLIAM ESBROOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8 EXECUTIVE CT, SUITE 2, SOUTH BARRINGTON, IL 60010-9531
(847) 382-0700
(847) 382-0707
Mailing address
16 12 LAKES CT, LAKE IN THE HILLS, IL 60156-6334
(847) 458-4280

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016173
IL

Other

Enumeration date
04/06/2007
Last updated
07/08/2007
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