Individual
DR. RANDALL J. AVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
250 WOOD RD, ANNAPOLIS, MD 21402-1257
(410) 293-4378
(410) 293-4831
Mailing address
250 WOOD RD, ANNAPOLIS, MD 21402-1257
(410) 293-4378
(410) 293-4831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-01-8322
OH
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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