Provider Demographics
NPI:1932310414
Name:INOUYE, RANDALL N (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:N
Last Name:INOUYE
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:735 COWPER ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2655
Mailing Address - Country:US
Mailing Address - Phone:650-321-3266
Mailing Address - Fax:650-321-1323
Practice Address - Street 1:735 COWPER ST
Practice Address - Street 2:SUITE B
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2655
Practice Address - Country:US
Practice Address - Phone:650-321-3266
Practice Address - Fax:650-321-1323
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA259091223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics