Randall, Clifford Sherwood
Randall, Clifford Sherwood is an individual health care provider with primary practice located at 12219 Harlem Ave , Palos Heights IL 60463. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Randall, Clifford Sherwood can be contacted via phone (708) 448-1622.Contact Information
Primary practice address
12219 Harlem Ave
Palos Heights IL 60463
Phone: (708) 448-1622
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | IL9444A | Illinois |
Profile Details
| NPI number | 1295811461 |
|---|---|
| LBN Legal business name | Randall, Clifford Sherwood |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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