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1003941857
RANDOLPH L LAIS
ROGERS, AR
NPI
1003941857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: AR 3304)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
RANDOLPH L LAIS DDS
5508 PINNACLE POINT DR
ROGERS, AR 72758-8143
Phone number: 479-845-1225
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Mailing Address
RANDOLPH L LAIS DDS
5508 PINNACLE POINT DR
ROGERS, AR 72758-8143
Phone number: 479-845-1225
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