| NPI | 1659689776 |
|---|---|
| Doing Business As | RANDOLPH FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | FORTUNA ALAPAG VARDEMAN Owner 210-658-9031 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18827) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |