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1164631776
BRYAN RANDOLPH DDS A PROFESSIONAL DENTAL CORPORATION
FOLSOM, CA
NPI
1164631776
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Entity Type
Organization
Authorized Contact
BRYAN C RANDOLPH
Owner
916-984-6747
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 41779)
Enumeration Date
2007-05-21
Last Update Date
2014-01-06
Business Address
BRYAN RANDOLPH DDS A PROFESSIONAL DENTAL CORPORATION
1621 CREEKSIDE DR SUITE 101
FOLSOM, CA 95630-3493
Phone number: 916-984-6747
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Mailing Address
BRYAN RANDOLPH DDS A PROFESSIONAL DENTAL CORPORATION
1621 CREEKSIDE DR SUITE 101
FOLSOM, CA 95630-3493
Phone number: 916-984-6747
Copy
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