MR. RANDALL MAYBERRY, DDS
Dentist
Active
Individual
NPI: 1336134055
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | D8549 (OR) |
Frequently Asked Questions
NPI 1336134055 is the National Provider Identifier for MR. RANDALL MAYBERRY, DDS, a Dentist provider located in Klamath Falls, OR. This NPI was enumerated on September 19, 2005.
MR. RANDALL MAYBERRY, DDS practices at 2074 S 6TH ST, Klamath Falls, OR 97601.
Quick Facts
- NPI
- 1336134055
- Type
- Individual
- Enumerated
- Sep 19, 2005
- Last Updated
- Mar 7, 2023
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