Organization
RANDAL P. GARVEY, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL P GARVEY DDS (OWNER)
(937) 834-2252
Entity
Organization
Contact information
Practice address
815 N WATER ST, UHRICHSVILLE, OH 44683-1457
(740) 922-3061
Mailing address
815 N WATER ST, UHRICHSVILLE, OH 44683-1457
(740) 922-3061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.014812
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780735910
INDIVIDUAL NPI
OH
Enumeration date
01/12/2012
Last updated
01/30/2015
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