Organization
RANDOLPH L. KIXMILLER,DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDOLPH L KIXMILLER DDS (OWNER/PRESIDENT)
(704) 342-4014
Entity
Organization
Contact information
Practice address
212 S TRYON ST, #1502, CHARLOTTE, NC 28281-0001
(704) 342-4014
Mailing address
212 S TRYON ST, #1502, CHARLOTTE, NC 28281-0001
(704) 342-4014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
103687
NC
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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