Individual
DR. RANDOLPH E. GEOGHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5725 ERINDALE DR, SUITE110, COLORADO SPRINGS, CO 80918-1984
(719) 528-1711
(719) 528-2558
Mailing address
5590 BUTLER CT, COLORADO SPRINGS, CO 80918-8157
(719) 532-9983
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104758
CO
Other
Enumeration date
07/27/2005
Last updated
07/08/2007
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