Individual
DR. RANDY L MOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15215 S 48TH ST STE 175, PHOENIX, AZ 85044-9140
(480) 759-9300
Mailing address
15215 S 48TH ST STE 175, PHOENIX, AZ 85044-9140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D04156
AZ
1223G0001X
General Practice Dentistry
4156
AZ
Other
Enumeration date
11/30/2006
Last updated
11/22/2022
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