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Search › Michigan › 1223P0221X

Grady Randall, DDS

NPI 1609188531 · on the registry since 2010

Practice

Address
1179 E Paris Ave Se
Grand Rapids, MI 49546
Phone
(616) 942-9840
Organisation at this address
Kathryn Bultman L.L.C.
Mitten Kids Orthodontics Plc
Gastroenterology Specialist Pc
Kingma Pediatric Dentistry Pllc
Celebrity Anesthesia Staffing Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
1223P0221X
Licence states on file
CO, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-28

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 Michigan