Provider Demographics
NPI:1811096456
Name:VOSS, RANDALL CURTIS (DMD)
Entity type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:CURTIS
Last Name:VOSS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:200 STATION WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-3348
Mailing Address - Country:US
Mailing Address - Phone:805-489-6800
Mailing Address - Fax:805-481-2500
Practice Address - Street 1:200 STATION WAY
Practice Address - Street 2:SUITE A
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-3348
Practice Address - Country:US
Practice Address - Phone:805-489-6800
Practice Address - Fax:805-481-2500
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA340421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice