Randall O Grill DDS

NPI 1063741593 - Dentist - 1223G0001X

NPI Details
NPI 1063741593
Gender Male
Enumeration Date 12/11/2009
Last Updated 12/27/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
2328 SW 136TH ST
OKLAHOMA CITY OK, 73170-5143, US
Phone (405) 590-8331
Fax
Business Location
2328 SW 136TH ST
OKLAHOMA CITY OK, 73170-5143, US
Phone (405) 590-8331
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Kansas
License Number 5492
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According to our database, Dr. Randall O Grill DDS NPI is 1063741593, taxonomy code is 1223G0001X and license number is 5492, license state is located at Kansas. Randall O Grill DDS physically located at 2328 Sw 136th St, Oklahoma City OK, 73170-5143. NPI Number Randall O Grill DDS has the Individual type.

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1063741593 NPI number is provided on an as is basis without warranty of any kind. 1063741593 is maintained by the National Plan & Provider Enumeration System. The contents of Randall O Grill DDS are for informational purposes only.