Individual
DR. RANDALL HARLEY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
120 CALLAWAY COURT, BOWLING GREEN, KY 42103
(270) 782-0716
(270) 746-9603
Mailing address
120 CALLAWAY COURT, BOWLING GREEN, KY 42103
(270) 782-0716
(270) 746-9603
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7717
KY
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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