Bryan Randolph DDS a Professional Dental Corporation
Bryan Randolph DDS a Professional Dental Corporation provides Dentist services in Folsom, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1621 Creekside Dr Ste 101Folsom, CA 95630-3493 Not confirmed with CMS for 12 years — call before visiting
Phone: (916) 984-6747
Fax: (916) 984-6746
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 41779 (CA) |
|---|
Record details
| NPI number | 1164631776 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bryan Randolph — Owner · (916) 984-6747 |
| NPI enumerated | May 21, 2007 |
| Last updated in NPPES | January 6, 2014 |
| Mailing address | 1621 Creekside Dr, Suite 101, Folsom, CA 95630-3493 |
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