Individual provider · Type 1 NPI
Carole Sue Randolph, D.D.S, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Valencia, CA
Practice location
28212 Kelly Johnson Pkwy, Suite 100
Valencia, CA 91355-5084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 33037 (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.