Individual
DR. RANDALL KEITH LOUT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6239 E BROWN RD, SUITE 102, MESA, AZ 85205-4933
(480) 396-3660
(480) 396-3697
Mailing address
6239 E BROWN RD, SUITE 102, MESA, AZ 85205-4933
(480) 396-3660
(480) 396-3697
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3911
AZ
Other
Enumeration date
04/09/2006
Last updated
07/08/2007
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