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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