Individual
RANDALL TEICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
911 NE AVERY ST, NEWPORT, OR 97365-3034
(541) 265-7900
Mailing address
911 NE AVERY ST, NEWPORT, OR 97365-3034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7746
OR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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