Wiley, Randall R
Wiley, Randall R is an individual health care provider with primary practice located at 2879 Willow Pass Rd , Concord CA 94519-2553. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Wiley, Randall R can be contacted via phone (925) 685-0513.Contact Information
Primary practice address
2879 Willow Pass Rd
Concord CA 94519-2553
Phone: (925) 685-0513
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 21225 | California |
Profile Details
| NPI number | 1548474711 |
|---|---|
| LBN Legal business name | Wiley, Randall R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2007 |
| 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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