RANDOLPH KEN SHOUP

NOBLESVILLE, IN
NPI1295741577
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12008036A)
Enumeration Date2006-07-31
Last Update Date2008-10-22
Business Address
Dr. RANDOLPH KEN SHOUP DDS
14297 BERGEN BLVD # 100
NOBLESVILLE, IN 46060-3358
Phone number: 317-776-1100
Mailing Address
Dr. RANDOLPH KEN SHOUP DDS
14297 BERGEN BLVD # 100
NOBLESVILLE, IN 46060-3358
Phone number: 317-776-1100
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