Individual
DR. RANDALL THOMASSON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3116 ACACIA DR, CHEYENNE, WY 82001-5804
(307) 634-3488
Mailing address
3116 ACACIA DR, CHEYENNE, WY 82001-5804
(307) 634-3488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1275
WY
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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