Carol Randolph Wald DDS

NPI 1821119256 - Dentist - 1223G0001X

NPI Details
NPI 1821119256
Gender Female
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
101 AUSTIN BLVD
SUITE 100
RED OAK TX, 75154-4660, US
Phone (972) 617-3322
Fax
Business Location
101 AUSTIN BLVD
SUITE 100
RED OAK TX, 75154-4660, US
Phone (972) 617-3322
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 12766
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According to our database, Dr. Carol Randolph Wald DDS NPI is 1821119256, taxonomy code is 1223G0001X and license number is 12766, license state is located at Texas. Carol Randolph Wald DDS physically located at 101 Austin Blvd, Red Oak TX, 75154-4660. NPI Number Carol Randolph Wald DDS has the Individual type.

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1821119256 NPI number is provided on an as is basis without warranty of any kind. 1821119256 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Randolph Wald DDS are for informational purposes only.