David John Randall, DDS Valid NPI
Individual provider · General Practice Dentistry · Chariton, IA
- NPI
- 1710019054
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 5524 (IA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-12
- Last updated
- 2007-07-08
Practice location
818 Braden Avenue
Chariton, IA 50049
(641) 774-2912