Individual
MR. RANDALL S RUMINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1918 E MCKELLIPS, THUNDERBIRD DENTAL GROUP, MESA, AZ 85203-2866
(480) 835-7357
(480) 649-6088
Mailing address
4730 E INDIAN SCHOOL ROAD, PMB 120 243, PHOENIX, AZ 85018-5441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6104
AZ
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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