Individual
DR. RANDY THOMAS FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
23645 GODDARD RD, TAYLOR, MI 48180-4046
(732) 374-2070
(734) 374-2503
Mailing address
23645 GODDARD RD, TAYLOR, MI 48180-4046
(732) 374-2070
(734) 374-2503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11555
MI
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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