Randall Lee Breeden D.D.S.

NPI 1194873315 - Dentist - 1223E0200X

NPI Details
NPI 1194873315
Gender Male
Enumeration Date 01/05/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2928 HAMILTON BLVD
SUITE 101
SIOUX CITY IA, 51104-2424, US
Phone (712) 258-3636
Fax (712) 255-4163
Business Location
2928 HAMILTON BLVD
SUITE 101
SIOUX CITY IA, 51104-2424, US
Phone (712) 258-3636
Fax (712) 255-4163
Toxanomy
Taxonomy Code 1223E0200X
License State Iowa
License Number 08190
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According to our database, Randall Lee Breeden D.D.S. NPI is 1194873315, taxonomy code is 1223E0200X and license number is 08190, license state is located at Iowa. Randall Lee Breeden D.D.S. physically located at 2928 Hamilton Blvd, Sioux City IA, 51104-2424. NPI Number Randall Lee Breeden D.D.S. has the Individual type.

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1194873315 NPI number is provided on an as is basis without warranty of any kind. 1194873315 is maintained by the National Plan & Provider Enumeration System. The contents of Randall Lee Breeden D.D.S. are for informational purposes only.