Individual
DR. CAROL RANDOLPH WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
101 AUSTIN BLVD, SUITE 100, RED OAK, TX 75154-4660
(972) 617-3322
Mailing address
101 AUSTIN BLVD, SUITE 100, RED OAK, TX 75154-4660
(972) 617-3322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12766
TX
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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