Individual
JAMES RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4601 W 109TH ST, SUITE 250, OVERLAND PARK, KS 66211-1318
(913) 498-3636
(913) 498-0935
Mailing address
4601 W 109TH ST, SUITE 250, OVERLAND PARK, KS 66211-1318
(913) 498-3636
(913) 498-0935
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7013
KS
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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