Organization
A HEALTH PARK DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S RANDOLPH (DR.)
(239) 566-9700
Entity
Organization
Contact information
Practice address
11121 HEALTH PARK BLVD, STE 200, NAPLES, FL 34110
(239) 566-9700
Mailing address
11121 HEALTH PARK BLVD, SUITE 200, NAPLES, FL 34110-5739
(239) 566-9700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11146
FL
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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