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Individual

DR. JOHN RANDOLPH AYRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
42 PLEASANT BEND DR, THE WOODLANDS, TX 77382-1297
(936) 217-5300
Mailing address
42 PLEASANT BEND DR, THE WOODLANDS, TX 77382-1297
(936) 217-5300

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
374350-9923
UT
1223G0001X
General Practice Dentistry
LL606
MD
1223P0221X
Pediatric Dentistry
Primary
29295
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119591300
MD
Enumeration date
04/27/2006
Last updated
04/11/2023
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