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Randall Pack, DDS
NPI 1568565026 · on the registry since 2006
Practice
- Address
- 6520 W Layton Ave
Greenfield, WI 53220 - Phone
- (414) 282-5560
- Fax
- (414) 282-6790
- Organisation at this address
- King Family Dentistry
Preferred Rehabilitation And Orthopedic Care Center S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin