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Dr. Randall Eugene Niederkohr, DDS
Pediatric Dentist in Los Angeles, California
NPI 1023118072

Randall Eugene Niederkohr is a Pediatric Dentist based in Los Angeles, CA and is specialized in Pediatric Dentistry. Randall Eugene Niederkohr practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Randall Eugene Niederkohr is 1023118072 and holds a License No. 39055 (California).

The current practice location address for Randall Eugene Niederkohr is 321 N Larchmont Blvd, Los Angeles, CA and can be reached out via phone at 323-463-8322 and via fax at 323-463-0937.

Location: 321 N Larchmont Blvd, Los Angeles, CA, 90004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023118072
Provider Name
Randall Eugene Niederkohr
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
321 N Larchmont Blvd, Los Angeles, CA, 90004
Phone Number
323-463-8322
Fax Number
323-463-0937
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
321 N Larchmont Blvd
City
Los Angeles
State
California
Zip
90004
Phone Number
323-463-8322
Fax Number
323-463-0937
person
Provider Business Mailing Address Details
Address
321 N Larchmont Blvd
City
Los Angeles
State
California
Zip
90004
Phone Number
323-463-8322
Fax Number
323-463-0937
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
39055 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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