Individual
DR. RANDALL HOWARD MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 E SOUTHERN AVE STE A, TEMPE, AZ 85282-5210
(480) 967-3303
(480) 967-0354
Mailing address
500 E SOUTHERN AVE STE A, TEMPE, AZ 85282-5210
(480) 967-3303
(480) 967-0354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3530
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3530
STATE LICENSE NUMBER
AZ
Enumeration date
01/05/2007
Last updated
07/08/2007
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