A PROFESSIONAL DENTAL ORGANIZATION

MANDEVILLE, LA
NPI1427902709
Doing Business AsRANDALL FOTO DDS
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2026-02-24
Last Update Date2026-02-24
Business Address
A PROFESSIONAL DENTAL ORGANIZATION
645 LOTUS DR N STE B
MANDEVILLE, LA 70471-3304
Phone number: 985-626-4447
Mailing Address
A PROFESSIONAL DENTAL ORGANIZATION
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: