Individual
LETITIA RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
401 S DRAKE RD, KALAMAZOO, MI 49009-1216
(269) 344-1271
Mailing address
401 S DRAKE RD, KALAMAZOO, MI 49009-1216
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020148
MI
Other
Enumeration date
09/08/2005
Last updated
04/30/2010
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