Organization
GRADY RANDALL PLLC
Active
Other names
Park Place Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRADY RANDALL (OWNER)
(303) 690-0877
Entity
Organization
Contact information
Practice address
13764 E QUINCY AVE, AURORA, CO 80015
(303) 690-0877
(303) 690-1250
Mailing address
13764 E QUINCY AVE, AURORA, CO 80015
(303) 690-0877
(303) 690-1250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN00201849
CO
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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