Organization
YVONNE RANDALL, PLLC
Active
Organization
YVONNE RANDALL, PLLC
Active
Other names
Fred Orthodontics, Fred Ortho
Organization subpart
No
Provider details
NPI number
Authorized official
TED WESTON (DIRECTOR, OPERATIONS)
(512) 922-9619
Entity
Organization
Contact information
Practice address
205 W WINDCREST ST STE 330, FREDERICKSBURG, TX 78624-4478
(830) 990-9660
Mailing address
5401 FM 1626 STE 820, KYLE, TX 78640-6066
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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