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1356423230
RANDOLPH CHARLES DANIEL
STOCKBRIDGE, GA
NPI
1356423230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA 9238)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Dr. RANDOLPH CHARLES DANIEL DDS
5634 N HENRY BLVD SUITE C
STOCKBRIDGE, GA 30281-3418
Phone number: 770-474-6900
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Mailing Address
Dr. RANDOLPH CHARLES DANIEL DDS
5634 N HENRY BLVD SUITE C
STOCKBRIDGE, GA 30281-3418
Phone number: 770-474-6900
Copy
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