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1295817518
RANDALL WAYNE TOOTHAKER
FORT DODGE, IA
NPI
1295817518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IA DDS-09060)
Enumeration Date
2006-10-19
Last Update Date
2015-04-03
Business Address
Dr. RANDALL WAYNE TOOTHAKER D.D.S.
328 COUNTRY CLUB DRIVE
FORT DODGE, IA 50501
Phone number: 515-302-8079
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Mailing Address
Dr. RANDALL WAYNE TOOTHAKER D.D.S.
328 COUNTRY CLUB DRIVE
FORT DODGE, IA 50501
Phone number: 515-302-8079
Copy
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