Individual
DR. RANDALL PATRICK LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
813 COVERED BRIDGE WAY, FAIRBURN, GA 30213-9611
(770) 853-9244
(770) 441-0299
Mailing address
1590 OAKBROOK DR, SUITE 200, NORCROSS, GA 30093-2245
(678) 836-2221
(770) 441-0299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010694
GA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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