Organization
RANDY J O LAUGHLIN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY JAMES O LAUGHLIN DDS (PRESIDENT)
(989) 879-4721
Entity
Organization
Contact information
Practice address
224 S MANITOU, PINCONNING, MI 48650-0806
(989) 879-4721
(989) 879-4731
Mailing address
PO BOX 806, PINCONNING, MI 48650-0806
(989) 879-4721
(989) 879-4731
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13187
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4062781
—
MI
Enumeration date
10/25/2006
Last updated
08/22/2020
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