Individual
DR. RANDALL MCKAY STUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
75 W MAIN STREET CT STE 200, ALPINE, UT 84004-5602
(801) 492-7778
Mailing address
712 CANTERBURY LN, ALPINE, UT 84004-1255
(801) 492-7778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
145404-9922
UT
Other
Enumeration date
07/17/2006
Last updated
02/08/2016
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