Individual
DR. RANDELL SCOTT ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4241 KIMBERLY PKWY, COLUMBUS, OH 43232-7225
(614) 866-7445
Mailing address
4241 KIMBERLY PKWY, COLUMBUS, OH 43232-7225
(614) 866-7445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-021772
OH
Other
Enumeration date
04/13/2006
Last updated
03/07/2023
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