NPI 1003200205

Ryan Randol DDS PC

Organisation General Practice Dentistry Lake Oswego, OR

Practice location

Address: 3993 Lake Grove Ave, Lake Oswego, OR 97035-4493
Phone: (503) 636-0055

Authorised official

Name: Ryan Randol
Title: President
Phone: (541) 671-3716

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Oregon →

Registry record

NPI: 1003200205
Entity type: Organization
NPI issued: 25 Mar 2015
Record last updated: 25 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.