Individual
DR. RANDALL SPEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5109 W BROAD ST, COLUMBUS, OH 43228-1648
(614) 878-9562
Mailing address
5109 W BROAD ST, COLUMBUS, OH 43228-1648
(614) 878-9562
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14474
OH
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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