DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRYAN RANDOLPH DDS A PROFESSIONAL DENTAL CORPORATION

Active Organization

BRYAN RANDOLPH DDS A PROFESSIONAL DENTAL CORPORATION is a Dentist organization located in FOLSOM, California. NPI 1164631776 is currently active in the NPPES registry. Verify at CMS.

Dentist · FOLSOM, CA

Registration Details

NPI Number
1164631776
Provider Type
Organization
NPI Issued
May 21, 2007 (19.260978080907 yrs)
Last Updated
Jan 6, 2014
License
41779 (CA)

Practice Information

Address
1621 CREEKSIDE DR
SUITE 101
FOLSOM, CA, 956303493
Browse CA providers · Browse ZIP 95630
Phone
9169846747
Fax
9169846746
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in FOLSOM, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.