Individual
DR. RANDALL R PENN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8906 COMMERCE RD, STE 1, COMMERCE TWP, MI 48382
(248) 363-5900
(248) 363-4917
Mailing address
8906 COMMERCE RD, STE 1, COMMERCE TWP, MI 48382
(248) 363-5900
(248) 363-4917
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901012761
MI
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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