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Individual

DR. RANDY D WOOTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1123 E MAIN ST, MEDFORD, OR 97504-7434
(541) 773-3422
(541) 779-2250
Mailing address
1123 E MAIN ST, MEDFORD, OR 97504-7434
(541) 773-3422
(541) 779-2250

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6025
OR

Other

Enumeration date
03/16/2007
Last updated
07/08/2007
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