Individual
DR. RANDOLPH LEWIS KIXMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
212 S TRYON ST, 1502, CHARLOTTE, NC 28281
(704) 342-4014
(704) 342-9806
Mailing address
212 S TRYON ST, 1502, CHARLOTTE, NC 28281
(704) 342-4014
(704) 342-9806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
103687
NC
122300000X
Dentist
6873
IN
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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