Individual
DR. NICK RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2045 S VINEYARD, SUITE 153, MESA, AZ 85210-6889
(480) 833-2232
(480) 833-3062
Mailing address
3239 E COWBOY COVE TRL, QUEEN CREEK, AZ 85243-3298
(480) 833-2232
(480) 833-3062
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6940
AZ
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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