Individual
ALANSON MARSHALL RANDOL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1122 NW GARDEN VALLEY BLVD, SUITE 103, ROSEBURG, OR 97470-1930
(541) 673-7437
(541) 440-1065
Mailing address
1122 NW GARDEN VALLEY BLVD, SUITE 103, ROSEBURG, OR 97470-1930
(541) 673-7437
(541) 440-1065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7637
OR
Other
Enumeration date
08/24/2005
Last updated
07/08/2007
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