Individual
DR. DAVID JOHN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
818 BRADEN AVENUE, CHARITON, IA 50049
(641) 774-2912
Mailing address
818 BRADEN AVENUE, CHARITON, IA 50049
(641) 774-2912
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5524
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146399
—
IA
Enumeration date
03/12/2007
Last updated
07/08/2007
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