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Randolph C Pearson, DDS
General Practice Dentistry in Walla Walla, Washington
NPI 1336122852

Randolph C Pearson is a General Practice Dentistry based in Waitsburg, WA and is specialized in General Practice. Randolph C Pearson practices in Walla Walla, WA and has the professional credentials of DDS. The NPI Number for Randolph C Pearson is 1336122852 and holds a License No. 4967 (Washington).

The current practice location address for Randolph C Pearson is 121 W Poplar St, Walla Walla, WA and can be reached out via phone at 509-525-2850 and via fax at 509-529-6545.

Location: 121 W Poplar St, Walla Walla, WA, 99361-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336122852
Provider Name
Randolph C Pearson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
121 W Poplar St, Walla Walla, WA, 99361-0445
Phone Number
509-525-2850
Fax Number
509-529-6545
Provider Enumeration Date
11/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5512702 05 WA
institution
Provider Business Practice Location Address Details
Address
121 W Poplar St
City
Walla Walla
State
Washington
Zip
99362-2871
Phone Number
509-525-2850
Fax Number
509-529-6545
person
Provider Business Mailing Address Details
Address
121 W Poplar St
City
Walla Walla
State
Washington
Zip
99362-2871
Phone Number
509-525-2850
Fax Number
509-529-6545
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4967 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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