NPI | 1104639004 |
---|---|
Doing Business As | RANDOLPH & ASSOCIATES FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JENNY GARCIA-ROCHA Sr Credentialing Team Lead 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-01-27 |
Last Update Date | 2025-07-16 |