Organization
RANDALL L. WHITTEN, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL L WHITTEN D.D.S. (OWNER)
(210) 824-9488
Entity
Organization
Contact information
Practice address
8700 CROWNHILL BLVD, SUITE 210, SAN ANTONIO, TX 78209-1136
(210) 824-9488
Mailing address
8700 CROWNHILL BLVD, SUITE 210, SAN ANTONIO, TX 78209-1136
(210) 824-9488
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11391
TX
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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