Individual
DR. JAMES MATTHEW RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16044 HIGHWAY 73 STE 101A, PRAIRIEVILLE, LA 70769-3595
(225) 744-2273
(225) 744-2275
Mailing address
16044 HIGHWAY 73 STE 101A, PRAIRIEVILLE, LA 70769-3595
(225) 744-2273
(225) 744-2275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5134
LA
Other
Enumeration date
11/30/2005
Last updated
11/18/2020
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