John S Randolph DDS

NPI 1619122264 - Dentist - 122300000X

NPI Details
NPI 1619122264
Gender Male
Enumeration Date 11/24/2008
Last Updated 11/24/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
11121 HEALTH PARK BLVD
SUITE 200
NAPLES FL, 34110-5739, US
Phone (239) 566-9700
Fax (239) 566-9677
Business Location
11121 HEALTH PARK BLVD
SUITE 200
NAPLES FL, 34110-5739, US
Phone (239) 566-9700
Fax (239) 566-9677
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN11146
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According to our database, Dr. John S Randolph DDS NPI is 1619122264, taxonomy code is 122300000X and license number is DN11146, license state is located at Florida. John S Randolph DDS physically located at 11121 Health Park Blvd, Naples FL, 34110-5739. NPI Number John S Randolph DDS has the Individual type.

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1619122264 NPI number is provided on an as is basis without warranty of any kind. 1619122264 is maintained by the National Plan & Provider Enumeration System. The contents of John S Randolph DDS are for informational purposes only.