BRYAN RANDOLPH DDS A PROFESSIONAL DENTAL CORPORATION

FOLSOM, CA
NPI1164631776
Entity TypeOrganization
Authorized ContactBRYAN C RANDOLPH
Owner
916-984-6747
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  41779)
Enumeration Date2007-05-21
Last Update Date2014-01-06
Business Address
BRYAN RANDOLPH DDS A PROFESSIONAL DENTAL CORPORATION
1621 CREEKSIDE DR SUITE 101
FOLSOM, CA 95630-3493
Phone number: 916-984-6747
Mailing Address
BRYAN RANDOLPH DDS A PROFESSIONAL DENTAL CORPORATION
1621 CREEKSIDE DR SUITE 101
FOLSOM, CA 95630-3493
Phone number: 916-984-6747