Organization
GREGORY T RANDALL DDS PC
Active
Other names
Hastings Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY THOMAS RANDALL DDS (PRESIDENT)
(269) 948-6684
Entity
Organization
Contact information
Practice address
212 W STATE ROAD, HASTINGS, MI 49058
(269) 948-6684
(269) 948-4644
Mailing address
212 W STATE ROAD, STE A, HASTINGS, MI 49058
(269) 948-6684
(269) 948-4644
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
017159
MI
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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