RANDALL ORTHODONTICS, P.A.
Organization (NPI-2)
Active
Dentist, Orthodontics and Dentofacial Orthopedics
Provider Information
- NPI Number
1902032246- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3285 E. 17TH ST., AMMON, ID, 834066758
- Phone
- (208) 716-3690
Specialties & Taxonomies
Dentist, Orthodontics and Dentofacial Orthopedics
Primary License: ID #D-3405-OR
All Addresses
MAILING
3285 E. 17TH ST.
AMMON, ID, 834066758