GREGORY T RANDALL DDS PC
Dentist at State Rd, Hastings, MI

License number
Michigan 017159
Category
Dentist
Type
Endodontics
Owner
Name: MR. GREGORY THOMAS RANDALL DDS
Title: PRESIDENT
Phone: (269) 948-6684
Address
Address
212 W State Rd, Hastings, MI 49058
National Provider ID: 1295896942
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GREGORY T. RANDALL, D.D.S., PC

Hastings, MI

Registration:
Sep 22, 1999
Addresses:
212 W State Rd STE A, Hastings, MI 49058 (Physical)
Michigan (Mailing)
State ID:
22336A
Business type:
Domestic Professional Service Corporation
Agent:
Dds Gregory T Randall

Dentist licenses in Michigan