Individual
RANDOLPH RICHARD PITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2224 1ST AVE W, WILLISTON, ND 58801-6286
(701) 774-0259
(701) 774-0250
Mailing address
2224 1ST AVE W, WILLISTON, ND 58801-6286
(701) 774-0259
(701) 774-0250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1628
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111332
—
MT
05
—
40031
—
ND
Enumeration date
09/29/2006
Last updated
07/08/2007
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