Provider Demographics
NPI:1366254427
Name:PAUL RANDALL GRIFFITH DENTAL CORPORATION
Entity type:Organization
Organization Name:PAUL RANDALL GRIFFITH DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TEEBA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALRAMAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-774-9198
Mailing Address - Street 1:1565 HOLLENBECK AVE STE 118
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-4300
Mailing Address - Country:US
Mailing Address - Phone:408-774-9198
Mailing Address - Fax:408-736-8606
Practice Address - Street 1:1565 HOLLENBECK AVE STE 118
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-4300
Practice Address - Country:US
Practice Address - Phone:408-774-9198
Practice Address - Fax:408-736-8606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty