Individual
DR. MELISSA RANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
301 S WYANDOTTE AVE, BARTLESVILLE, OK 74003-4039
(918) 336-1422
(918) 336-8633
Mailing address
PO BOX 8, PO BOX 578, CANEY, KS 67333-0008
(620) 879-2386
(620) 879-5651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6366
OK
Other
Enumeration date
05/03/2012
Last updated
01/03/2017
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