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1003241860
RANDY SCOTT FAECHER
PINEVILLE, LA
NPI
1003241860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN 12491)
Enumeration Date
2013-09-11
Last Update Date
2013-09-11
Business Address
Dr. RANDY SCOTT FAECHER D.M.D.
2495 SHREVEPORT HWY DENTAL SERVICE, ALEXANDRIA VA HEALTHCARE SYSTEM
PINEVILLE, LA 71360-4044
Phone number: 318-466-2567
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Mailing Address
Dr. RANDY SCOTT FAECHER D.M.D.
2495 SHREVEPORT HWY DENTAL SERVICE, ALEXANDRIA VA HEALTHCARE SYSTEM
PINEVILLE, LA 71360-4044
Phone number: 318-466-2567
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