Individual
RANDOLPH HUNTER ALEXANDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2708 ASTER ST, SUITE A, LAKE CHARLES, LA 70601-8824
(337) 478-9843
(337) 478-9845
Mailing address
2708 ASTER ST, SUITE A, LAKE CHARLES, LA 70601-8824
(337) 478-9843
(337) 478-9845
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2896
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1828963
—
LA
Enumeration date
02/15/2006
Last updated
07/09/2007
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