Individual
DR. RANDEL PAUL SWANSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS PHARM D
Contact information
Practice address
2000 BROADWAY ST, BELLINGHAM, WA 98225
(360) 671-9979
(360) 676-6206
Mailing address
2000 BROADWAY ST, BELLINGHAM, WA 98225
(360) 671-9979
(360) 676-6206
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7640
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5018874
—
WA
05
—
5036348
—
WA
Enumeration date
05/10/2006
Last updated
07/08/2007
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