License holder summary

RANDOLPH A WIRTH is a Dentist, Hygienist, Dental Assistant - Periodontist licensed to practice in Michigan. The address on file for RANDOLPH A WIRTH is East Lansing, MI 48823.

Michigan

Department of Licensing and Regulation

RANDOLPH A WIRTH
Dentist, Hygienist, Dental Assistant - Periodontist
License number
2901009108
Date expires
08/31/2004
Class
Dentist, Hygienist, Dental Assistant - Periodontist
Status
Lapsed
Address
East Lansing, MI 48823
michiganlicensing.org
ID 25669221
LAST UPDATED 2026-05-24 21:15:24 UTC

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