Individual
DR. RANDALL J. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7600 E CAMELBACK RD, SUITE #4, SCOTTSDALE, AZ 85251-2106
(480) 947-7477
(480) 941-3760
Mailing address
7600 E CAMELBACK RD, SUITE #4, SCOTTSDALE, AZ 85251-2106
(480) 947-7477
(480) 941-3760
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
AZ3628
AZ
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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