Individual provider · Type 1 NPI

Carole Sue Randolph, D.D.S, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Valencia, CA

NPI number 1083876536 Active

Practice location

28212 Kelly Johnson Pkwy, Suite 100
Valencia, CA 91355-5084

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X33037 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1083876536

Carole Sue Randolph, D.D.S, M.S.'s National Provider Identifier is 1083876536, issued on Jun 26, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Valencia, CA. The record was last updated on Aug 24, 2011.