Organization
RANDALL FAMILY DENTISTRY PLLC
Active
Other names
Chino Valley Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK RANDALL DMD (PRESIDENT)
(928) 636-6872
Entity
Organization
Contact information
Practice address
1598 SUSAN A WILLIAMS WAY STE E, CHINO VALLEY, AZ 86323-6171
(928) 636-6872
Mailing address
1598 SUSAN A WILLIAMS WAY STE E, CHINO VALLEY, AZ 86323-6171
(928) 636-6872
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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