BRYAN RANDOLPH DDS A PROFESSIONAL DENTAL CORPORATION

Dentist

Active Organization
NPI: 1164631776

Practice Address

1621 CREEKSIDE DR
SUITE 101
Folsom, CA 95630

Phone: (916) 984-6747

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 41779 (CA)

Frequently Asked Questions

NPI 1164631776 is the National Provider Identifier for BRYAN RANDOLPH DDS A PROFESSIONAL DENTAL CORPORATION, a Dentist provider located in Folsom, CA. This NPI was enumerated on May 21, 2007.

Quick Facts

NPI
1164631776
Type
Organization
Enumerated
May 21, 2007
Last Updated
Jan 6, 2014

Nearby Providers