Individual
SANDRA RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, OMT
Contact information
Practice address
52 CRAZY HORSE LN, BELFRY, MT 59008-9510
(406) 201-8259
Mailing address
PO BOX 238, BELFRY, MT 59008-0238
(253) 226-6220
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DEN-RDH-LIC-28199
MT
174400000X
Specialist
Primary
DEN-RDH-LIC-28199
MT
Other
Enumeration date
11/18/2024
Last updated
06/18/2025
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