Individual
DR. LARRY RANDOLPH PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
824 E REDD RD STE 1-A, EL PASO, TX 79912-7262
(915) 581-8152
(915) 833-7517
Mailing address
824 E REDD RD STE 1-A, EL PASO, TX 79912-7262
(915) 581-8152
(915) 833-7517
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
768511
UCCI
PA
01
—
D07326
BCBS OF TEXAS
TX
Enumeration date
08/31/2006
Last updated
07/08/2007
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