Organization
DR RANDALL J EGGERT DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL J EGGERT D.D.S., P.S. (OWNER, ORAL SURGEON)
(425) 882-9116
Entity
Organization
Contact information
Practice address
8575 164TH AVE NE, SUITE 300, REDMOND, WA 98052-3679
(425) 882-9116
(425) 882-9136
Mailing address
8575 164TH AVE NE, SUITE 300, REDMOND, WA 98052-3679
(425) 882-9116
(425) 882-9136
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00007583
WA
Other
Enumeration date
11/13/2006
Last updated
07/12/2007
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