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CHARLES RANDALL, DDS

DDS

Orthodontics and Dentofacial Orthopedics Dentistry

NPI: 1710035829Individual

Specialties, Licenses & Credentials

Dentist — Orthodontics and Dentofacial Orthopedics

Code: 1223X0400X

D-3405-OR(ID)

Contact & Hours

Address
3285 E. 17TH ST.
AMMON, ID 83406

Quick Facts

NPI
1710035829
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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