Organization
RANDALL NIEDERKOHR,D.D.S,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDLL EUGENE NIEDERKOHR D.D.S. (OWNER)
(323) 816-3581
Entity
Organization
Contact information
Practice address
27 ST LAWRENCE DR STE 109, TIFFIN, OH 44883-8314
(419) 447-7337
(419) 447-7003
Mailing address
27 ST LAWRENCE DR STE 109, TIFFIN, OH 44883-8314
(419) 447-7337
(419) 447-7003
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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