Individual
KATHERINE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
14037 LOCUST ST, THORNTON, CO 80602-9188
(765) 210-1757
Mailing address
14037 LOCUST ST, THORNTON, CO 80602-9188
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
00201805
CO
Other
Enumeration date
01/06/2015
Last updated
08/14/2015
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