Cross, Randolph Robert
Cross, Randolph Robert is an sole proprietor health care provider with primary practice located at 390 S Green Valley Rd Ste 7 , Watsonville CA 95076-3077. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Dentist. Dental Providers / Endodontics is his primary health care specialty. Cross, Randolph Robert can be contacted via phone (831) 536-5295.Contact Information
Primary practice address
390 S Green Valley Rd Ste 7
Watsonville CA 95076-3077
Phone: (831) 536-5295
Fax: (831) 536-5296
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Endodontics | 1223E0200X | 62890 | California |
Dental Providers / Dentist | 122300000X | DD3517 | New Mexico |
Profile Details
NPI number | 1073807426 |
---|---|
LBN Legal business name | Cross, Randolph Robert |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 2nd, 2011 |
Last updated | Sep 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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