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Individual

DR. RANDELL M CAPENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
241 W FOREST ST, BRIGHAM CITY, UT 84302-2051
(435) 723-6211
Mailing address
241 W FOREST ST, BRIGHAM CITY, UT 84302-2051
(435) 723-6211

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5154619
UT

Other

Enumeration date
07/14/2006
Last updated
07/08/2007
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