Individual
DR. RANDALL SCOTT KREBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5855 W UTOPIA RD, GLENDALE, AZ 85308-5251
(623) 537-6000
(623) 806-7689
Mailing address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6000
(623) 806-7689
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4672
WI
1223G0001X
General Practice Dentistry
0401415484
VA
1223G0001X
General Practice Dentistry
Primary
D012199
AZ
Other
Enumeration date
10/25/2006
Last updated
07/09/2024
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