| NPI | 1477902989 |
|---|---|
| Doing Business As | RANDOLPH PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JAMES FETNER Clinic Supervisor 336-963-2408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |