Randall Lynn Malan in Fresno - Orthodontics And Dentofacial Orthopedics
Randall Lynn Malan - NPI 1770617615
Randall Lynn Malan is a Orthodontics And Dentofacial Orthopedics in Fresno, California. Randall Lynn Malan practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Randall Lynn Malan is 1770617615. The last update date is 2007-07-08.
Randall Lynn Malan's current location address is 1642 E Herndon Ave, Fresno, California. You can contact this provider via phone number 5592612055. The mailing address for Randall Lynn Malan is 1642 E Herndon Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Lynn Malan |
|---|---|
| Address | 1642 E Herndon Ave, Fresno, California |
| Phone Number | 5592612055 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1770617615 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1642 E Herndon Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937203377 |
| Phone Number | 5592612055 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 36260 |
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Definition: 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 rel |
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What is the Randall Lynn Malan's unique identification number?
The Randall Lynn Malan has been assigned the NPI (National Provider Identifier) Number 1770617615 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Randall Lynn Malan?
The Randall Lynn Malan is physically situated at 1642 E Herndon Ave, in the city of Fresno, state of CA, with the postal code 937203377.
What is Randall Lynn Malan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randall Lynn Malan is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.
When did Randall Lynn Malan receive its 1770617615 assignment?
The Randall Lynn Malan was assigned its 1770617615 on 2007-03-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Randall Lynn Malan most recently updated or revised?
The information pertaining to Randall Lynn Malan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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