| NPI | 1093160715 |
|---|---|
| Doing Business As | RANDALLWOOD DENTAL |
| Entity Type | Organization |
| Authorized Contact | RENE TANQUILUT President / Owner 630-377-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: IL 019023351) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2021-06-09 |