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Dr. Domenik Randon, DMD

Dentist in Whiteville, NC. Individual provider (NPI-1).

NPI number1669941852
StatusActive
Last updated in NPPESNov 16, 2018

Details

NPI
1669941852
Entity type
Individual (NPI-1)
Name
Dr. Domenik Randon
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 16, 2018
Last updated
Nov 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist11237NCYes

Practice location

5 Whiteville Town Ctr
Whiteville, NC 28472-4401

Phone 910-212-6613 · Fax 910-267-8986

Mailing address

3570 Masters Dr
Hope Mills, NC 28348-2278

Phone 910-578-9844

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